References
Rachel Dental Surgery, Malaysia
Our clinic is located in the heart of Kota Kinabalu, the capital city of Sabah on Borneo Island. We provide dental surgery and general dentistry with special interest in Orthodontics. The main priority of our clinic is safe and innovative patient treatment. For us, safety starts with impeccable hygiene standards and sterile instruments. This can only be ensured by the implementation of new technology and modern equipment following international standards and regulations.
Rising hygiene demands worldwide
In the age of globalisation the spread of diseases is a serious concern. Clinics need to undertake comprehensive measures that prevent harmful microorganisms from spreading and infecting patients. Simultaneously clinics have to be as transparent as possible. The patients in the Asia Pacific region increasingly want to know which hygiene precautions are being taken and how they are executed. To know that our devices for instrument decontamination monitor all processes and that each batch of instruments is carefully documented makes us and our patients feel safe. A reliable instrument decontamination process requires efficient workflows. We prefer to rely on a system provider with a long-standing expertise.
Reliable sterilisation with a Class-B steam sterilizer as part of the MELAG system solution
All of our MELAG devices and accessories are highly reliable and fully compatible to one another ensuring safe and efficient instrument decontamination workflows. Directly after patient treatments our used instruments will be thoroughly rinsed, cleaned and disinfected. All instruments will be inspected to make sure that there are no remaining stains or solid residuals before sterilizing the instruments with Vacuklav 41 B+. Hand-pieces will be oiled and lubricated. And packed in pouches, all instruments will be sealed by using the sealing device MELAseal 100. The steam sterilizer with its extremely fast cycle times is the centrepiece of our daily hygiene cycle. Even hollow instruments, such as hand-pieces or turbines are reliably sterilized in a very short time. With the “Quick S Program” our instruments are ready for re-use within 15 minutes, completely dry. To fully complete the instrument re-processing, an exact documentation is inevitable. Integrated in Vacuklav 41 B+ the software for approval, labelling and traceability of sterilized instruments means a big step forward for our entire instrument decontamination cycle.
Conclusions
MELAG products help us to save costly energy and valuable time which results in an accelerated instrument decontamination process. This puts us in the excellent position to spend more time caring for our patients. Relying on a Class-B steam sterilizer with pre-vacuum makes us confident that a safe sterilisation of instruments is provided to protect our patients and staff members.
Centrum Zdrowia Tuchów, Polen
Efficient and safe standard-compliant instrument sterilization with the MELAG double-door large steam sterilizers of the Cliniclave series.
The installation of the Cliniclave 45 D in the Centrum Zdrowia Tuchów
Our central sterilized equipment supply department in Tuchów municipal hospital purchased the MELAG Cliniclave 45 D large steam sterilizer within the scope of a refurbishment programme. Polish health regulations (the General Recommendations 2017) require that hospitals ensure the strict separation of clean and unclean areas. Seeking to comply with this requirement, we decided to purchase a double-door steam sterilizer from the Cliniclave series. The wall mounting of the device was quick and easy; the loading side is accessible only from the unclean room, whilst the removal side is located in the clean room. The time between delivery and commissioning of the device amounted to between only three and four hours; the installation without connection to the supply lines required only one hour. Loading and unloading is performed highly ergonomically with a loading trolley, loading hook and batch slider. The large touch display on both sides of the Cliniclave and its intuitive user interface makes for highly safe and very easy operating.
Complete instrument sterilization with the MELAG large steam sterilizer
The convincing device concept of the Cliniclave 45 with its fast operating times and intelligent solutions - integrated functions such as energy-saving mode, batch approval via the display, and automatic complete shutdown - enables us to process all the instruments required in the hospital whilst ensuring availability of all the required instruments with only a single large steam sterilizer. The MELAG large steam sterilizer provides first-class value for money: reliable sterilization and excellent drying results at speed. This saves time and money every day. The attractive design of the Cliniclave also streamlines perfectly with our modern hospital room design.
Complying with the requirements of all legally-binding standards and directives, the Cliniclave 45 D enables us to cover all the sterilization needs of our hospital in an entirely safe manner. The health and safety of our patients is our number one priority: the Cliniclave was the best choice to meet our exacting requirements.
Dental Clinic Frank Bachmann
We have treated patients here in the Göttingen Ostviertel for over 20 years specializing in aesthetic dentistry. We also practice preventative medicine, paediatric dentistry, conservation, prosthetics, implantology and periodontics. We put innovative equipment and state-of-the-art technology to its best use, so as to ensure a focus on patient well-being.
MELAtherm and MELAtrace as constituent parts of the MELAG system solution
Our first aim while redesigning our decontamination room was to ensure the safest-possible instrument decontamination process so as to maximize patient safeguarding. This explains our choice of the MELAtherm 10: it ensures better and safer instrument decontamination following manual treatment, thereby improving our hygiene workflow. The cleaning outcomes are excellent and the integrated drying is a great success. The practical automatic metering function of the device means that we always use the right amount of liquids. The MELAG washer-disinfector saves considerable time and effort for our specialist staff who work day- in day-out to ensure the constant availability of sterile instruments. The MELAtherm effects a significant reduction in the danger of injury, as the individual instruments are no longer cleaned and disinfected manually. This provides our team with much better protection against infection.
The MELAtrace documentation system ensures secure instrument traceability right up to each patient, ensuring legal security. Overall, the use of this software means a considerable step forwards, as it ensures complete documentation, thereby enabling us to plan the loading and the devices and issue instrument approval. The optimal processes provided by MELAtrace are reflected in our practice routine. The attractive and clearly-arranged user interface of the device means intuitive and easy control of the complete decontamination process using the touch display.
The intelligent integration of the MELAG system solution incorporating the Vacuklav 40-B, MELAtherm 10, MELAtrace, MELAseal 100+ and MELAprint 60 brings considerable time savings and improves safety. This produces a highly efficient decontamination process with minimal input and short instrument availability time. We now have more time to concentrate on our patients.
Medical Dental Group Ukraine
The opening of Medical Dental Group in June 2017 was the result of twenty years of experience of a large team of medical practitioners with thorough experience in world dentistry and in attracting investment.
Medical Dental Group is able to offer you a number of innovations including:
- Digital protocols for all kinds of treatments which provide 100% accuracy
- Significantly reducing the length of treatment
- Guaranteed long-term quality
We provide services in the fields of periodontology, therapy, surgery of the highest level of complexity, prosthetics, orthodontics and plasma therapy. Prevention is our priority, and doctors-periodontologists work on the protocols of Berne University, which has proved to be effective in preventing a variety of possible dental problems. We have 11 treatment rooms, all equipped for any kind of treatment using the latest Sirona equipment. Our Leica dental microscope offers the accuracy of endodontic treatment of dental canals to qualitative indicators of the level of microsurgery. Our clinic operates the latest dental technologies, we have our own computer digital diagnostic room and technical laboratory, which allows 2D, 3D-research to be done and accurate restoration work to be carried out in the shortest possible time.
Special attention goes to the sterilization cabinet, for which only reliable and proven sterilization devices are used. Our Ultrasonic washing device intended for small instruments, eliminates blood residues which are imperceptible to the human eye , contamination and other materials.
The washing and disinfecting machine MELAtherm 10 is capable of deactivating viruses (hepatitis B and C in particular), bacteria at rest, fungi and even their spores at the primary stage of instrument processing. After that, the instruments are placed in a universal steam autoclave Euroklave 23 VS+, which provides us with fast and effective sterilization. The device prevents the intervention of the human factor in the processing of instruments treatment and thereby avoids any malfunctions, since it is programmed to prevent the use of poor-quality water and incorrect selection of the program.
Products of MELAG provide our clinic with the best hygiene control and reliable instrument re-processing. Cleaning, lubrication and sterilization of non-separable dental instruments occurs in just 16 minutes with the combined autoclave Dac Universal. We provide the highest level of service and pride ourselves on having many English-speaking specialists. We will help to solve accommodation issues and airline reservations for foreign guests. In Medical Dental Group's digital dental clinic, we offer the world-class medical care at favourable prices.
Esthetic surgery Dr. med. Daniel Talanow
We attach great importance to patient safety - that is why we use MELAG products for the reprocessing of our instruments. Furthermore our Premium-Class steam sterilizer impresses with fastest cycle times.
Kiboukai Dental Clinic, Dr. Hirayama,
MELAG products get high evaluation from our staffs and patients. I am also very satisfied with the design and operability for daily use.
Smile Experts Dental Clinic
When we founded the Smile Experts Dental Clinic in 2012, one of the main priorities was to guarantee the appropriate level of patient safety. Also very important in the decision making process was to ensure the most reliable and helpful appliances to our own staff. The MELAG product range with devices of highest safety standards had been our unequivocally choice. We have 5 dental units for the patient treatment. Our decontamination room is optimally equipped with reliable products of the MELAG system: For cleaning and disinfecting our instruments we use the washer-disinfector MELAtherm 10 DTB with the water treatment facility MELAdem 53, which provides highquality demineralized water. After packaging with MELAseal 100+ the instruments will be sterilized with one of our two Pro-Class Vacuklav 23 B+ steam sterilizers.
MELAG provides an integrated system solution for cleaning and disinfection, sterilization, packaging and documentation of our large quantities of dental instruments. With our MELAG products we have established an instrument decontamination workflow following EU standards, Romanian legislation and Best Practice Guidance. And also the integrated MELAG system solution has proven to be both: Cost-cutting and time-saving.
Dental clinic Villa Seelig, Dr. Nirgül Usta
We set our focus on the patient as a human being. MELAG products help every day to meet the needs of our patients for maximum safety.
MELAG System in oral and facial practice Biss45
I am entirely convinced by the reliability and quality of my MELAG system solution.
Dental Practice Dr. Ueberschär
Twenty years after the establishment of my practice, I was faced with the need to modernize and extend its areas of operation. A significant aspect of this project involved bringing instrument treatment up-to-date through the employment of the very best technical components. The central German institution for health protection and hygiene directives outline the conditions which need to be established and maintained in the processes designed to treat medical products and effect their return to use. The lack of legal regulations in this area has conferred a quasi-official character to what are essentially guidelines, establishing them as binding specifications referred to in legal disputes.
General directives applying to dental treatment include:
“Hygiene requirements for the treatment of medical products” and “Preventing infection in dental practices - hygiene requirements”. In addition to the requirement for validated treatment procedures, these texts stipulate the specific requirements made of the individual details of the process chain. According to these directives, the cleaning, disinfection and sterilization of transfer instruments with increased requirements made of treatment (such as for hand pieces used in areas such as surgery) are to be performed as part of an automatic machine-based procedure. In addition, the process cycle is to be validated and to achieve repeatedly identical results as part of a constant process chain.We have traditionally performed all our sterilization tasks with the Vacuklav 40 B + from MELAG, sterilizing wrapped and unwrapped instruments, implant sets and endo instruments on a daily basis. Convinced by the good performance of the MELAG product, we decided to invest in the new MELAtherm 10 washer-disinfector for the automatic treatment of all our practice equipment. We use this device to treat all our conservational, prosthetic and surgical instruments, irrespective of their later purpose or their status as critical or semi-critical. Initial fears that the restricted chamber volume would result in low instrument availability were soon dispelled. The flexible use of various baskets, inserts and filters and support from the manufacturer, we were soon able to achieve maximum use of our process runs. The low space requirements of the device represents a decisive advantage (the canisters for the process media and the equipment can be stored in a drawer in the floor unit). The advantages of this feature cannot be underestimated when it comes to converting existing rooms.
The drying phase (which really lives up to its name) rounds off the treatment process of the Washer Disinfector. We perform all subsequent sterilization in theVacuklav 40 B+. This facilitates the treatment of all instruments, wrapped and unwrapped, guaranteeing maximum quality of treatment without any hygiene risks for personnel or patients. The new cycle required an update of the work and process instructions in the QM handbook in preparation for validation of the instrument treatment process chain. The training of my staff and their authorization for the treatment of medical products was assessed and certified. The quality of the drinking water and the up-stream demineralization unit (MELAdem 53) was prepared. The automatic electronic documentation by MELAtherm and Vacuklav on the server was checked after installation. This secures all batch documentation including clearance by a member of staff and replaced the much more elaborate hard copy documentation. All process parameters are checked over the entire device runtime during validation. Both clinical soiling on the instruments and artificially attached “test-soiling” were investigated for the cleaning performance. A number of values were noted including the nature and type of the film packaging. Returning optimum results, none of the process runs tested required any level of remedy.
With its reliable and safe processes, the successful introduction of this state-of-the-art piece of technology provides our practice with hygiene safety in our everyday operation. Its introduction has demonstrated that all RKI directives can be satisfied to the benefit of our patients in an efficient manner. The upgrade also saves much time by reducing staff documentation duties to a minimum. Looking back, I can see that the necessarily high investment has brought a reproducible quality for the minimum of effort. Other systems do not provide the same level of efficiency. The optimization of structured processes enables all our staff to devote more time to patient care.
Dr. Matthias Ueberschär
Practice for Oral and Maxillofacial Surgery
Although the organization, instrument treatment and the selection of products are not the central themes in starting a new company, we have already prioritized all related requirements in the planning of our practice for oral and maxillofacial surgery, which established in 2012. These requirements consisted of quality, process reliability, and ergonomics. Our decision to orient our practice to a particularly high quality and process reliability for instrument treatment is based on the fact that we have focused our activities on general oral surgery, bone reconstruction and aesthetic surgery.In 5 treatment and one operation room, our 5 treating physicians care daily for an average of 90 patients during normal times and up to 140 during peak times. The ergonomic requirements arising from these activities relate particularly to the workflow, the clear separation into sterilized and not sterilized areas, automation, short processing times, and simplified documentation.
Redundancy and reproducible instrument treatment in sterilization room
Our centrally located sterilization room is directly accessible from all treatment rooms as well as from the operating room. The waste management and presterilization area is located in the non-sterile section (ultrasound). This is followed by the mechanical cleaning and disinfection of the instruments in two MELAtherm washer disinfectors, which provide the corresponding base units with an optimally ergonomic loading height. In the sterilized area on the other side of the room, the instruments are packaged and sterilization is performed in three MELAG steam sterilizers of the type Vacuklav 40 B+, and the handpieces and turbines are treated in DAC Universal from Sirona. In 5 treatment and one operation room, our 5 treating physicians care daily for an average of 90 patients during normal times and up to 140 during peak times. The ergonomic requirements arising from these activities relate particularly to the workflow, the clear separation into sterilized and not sterilized areas, automation, short processing
We acquired two washer disinfectors and steam sterilizers instead of larger unit for the following reasons:
• It makes the faster processing of instruments possible, because one does not have to wait for better utilization of the larger unit
• Continuous treatment in case of maintenance or device validation
• Higher reliability through redundancy in the event of a device failure
Systematic treatment
Our decision to largely opt for the treatment of cartridges (wash trays) with standardized loadings was not merely due to the volume of the instruments to be treated. We treat up to 8 wash trays (per device) in washer disinfectors for each treatment process. These trays are then sterilized in a steam sterilizer in sterilization containers (up to 3 cartridges per operation). The cleaning results are very good. Using the fastest program, instruments can be treated in about 55 minutes including the drying time. Although we are well equipped with two devices, we wish to shorten the operating time even further. Upon our request, MELAG has already promised an optimization, which allows for even shorter periods. The level of noise and heat generated by up to 5 devices in an internally located treatment room should not be underestimated, especially if more than 5 operations are performed daily.
Summary
Two washer disinfectors, three steam sterilizers and a combination device for the treatment of hand pieces are important prerequisites for a coordinated treatment cycle. This does not mean that everything is running optimally. We were not able to minimize the initial staining, even after intensive renegotiations with the manufacturer of the instruments and the connection of a water treatment unit for the washer disinfectors. However, after connecting the water treatment unit, the devices achieved good cleaning results, excellent drying, high reliability, and good working ergonomics.
SPREEDOCS in the Clinica Vita
The SPREEDOCS is a joint practice for anaesthetics and outpatient operations with two locations in Berlin. Working in our surgical centre Clinica Vita in Berlin- Wilmersdorf, we treat between 12 and 25 patients per day. The long experience of our 4-person team ofanaesthetists ensures that our patients feel well-treated at all times. We perform general, orthopaedic and plastic surgery.
Pioneer work for the new Cliniclave 45
We are proud of our status as one of the first units to use the Cliniclave 45. Of course, we were initially uncertain whether to purchase a device launched so recently. Every new device is accompanied by "teething troubles," but these could not be allowed to interrupt our practice routine. We are highly delighted that these doubts proved unfounded in terms of the Cliniclave 45. The constant availability of MELAG staff members to provide advice and support was a key factor in effecting this smooth transition.
Improved handling and more comfortable ergonomics
Two trained members of staff are responsible for instrument treatment. The decisive factor in our decision to acquire the Cliniclave 45 was its significantly optimized process run times in comparison to the MELAG large steam sterilizers of the type 25 previously put to use in our practice. In addition to the time-saved following this purchase, the larger load volumes (40 kg unwrapped or 35 kg wrapped instruments and 7 kg textiles) and the increases in labour effectiveness brought by the Cliniclave 45 also has a positive impact on practice routine. On average, we start the Cliniclave 45 six times a day; a number of work days involve starting up to ten cycles per day. The handling of the new device has also improved considerably. The loading and unloading of the large steam sterilizer with the loading system and the transport trolley guarantees ergonomic and safe working practices. Although initially unfamiliar, the new display and operating concept is so easy and intuitive that we required only a few applications to master the change-over; operation is now quick and easy and a pleasure. The additional functions of the Cliniclave 45 - especially the automatic deactivation - provide greater flexibility in the organization of our practice routine.
Our conclusion
Those looking for a quick and inexpensive large steam sterilizer providing a well-conceived device concept need look no further than the Cliniclave 45. Its operating times, loading volumes, loading and unloading, operation and additional functions enable the processing of a larger volume of instruments in a shorter time. This saves time and money.
