Test Procedures
Laryngoscope blades and handles should always be tested after cleaning/disinfecting/sterilization, and
prior to use. To test, connect the laryngoscope blade to handle and push blade to ON position. If the
unit fails to light or flickers, check the lamp for a secure connection, batteries, and electrical contacts.
Be sure to have adequate supplies of replacement bulbs and batteries.
Caps on battery handle should be secure before use. If they are not, it could cause the blade to move
out of position. Laryngoscopes should be visually inspected for wear or aging prior to use and after
long storage periods. It is strongly recommended that back-up laryngoscopes are kept on hand for
emergency situations.
ADC Satin Standard,
Fiber Optic and Disposable
Laryngoscope Blades and Handles
®
TM
REPLACEMENT PARTS CHART
DESCRIPTIONS
STANDARD MODELS
Laryngoscope
Item
Standard
Blade
Standard
Replacement Lamp
Mac 0
Mac 1
Mac 2
Mac 3
Mac 4
Miller 00
Miller 0
Miller 1
Miller 2
Miller 3
Miller 4
Wisconsin 0
Wisconsin 1
Wisconsin 1.5
Wisconsin 2
Wisconsin 3
Wisconsin 4
“C” Cell Handle
“AA” Cell Handle
Stubby Handle
4070
4071
4072
4073
4074
4080-0
4080
4081
4082
4083
4084
4090
4091
40915
4092
4093
4094
4065
4066
4067
4500
4500
4500
4501
4501
4500
4500
4500
4501
4501
4501
4500
4500
4500
4501
4501
4501
NA
NA
NA
Directions
for Use
®
DESCRIPTIONS
STANDARD MODELS
Laryngoscope
Item
Fiberoptic
Blade
Fiberoptic
Replacement Lamp
Fiberoptic
Light Guide
Mac 0
Mac 1
Mac 2
Mac 3
Mac 4
Miller 00
Miller 0
Miller 1
Miller 2
Miller 3
Miller 4
Wisconsin 0
Wisconsin 1
Wisconsin 1.5
Wisconsin 2
Wisconsin 3
Wisconsin 4
“C” Cell Handle
“AA” Cell Handle
Stubby Handle
4070F
4071F
4072F
4073F
4074F
NA
4080F
4081F
4082F
4083F
4084F
NA
NA
NA
4NA
NA
NA
4065F
4066F
4067F
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4532
4532
4532
4070FLP-00
4071FLP-00
4072FLP-00
4073FLP-00
4074FLP-00
NA
4080FLP-00
4081FLP-00
4082FLP-00
4083FLP-00
4084FLP-00
NA
NA
NA
NA
NA
NA
NA
NA
NA
DESCRIPTIONS
SPU MODELS
Laryngoscope
Item
Fiberoptic
Blade
Mac 0
Mac 1
Mac 2
Mac 3
Mac 4
Miller 00
Miller 0
Miller 1
Miller 2
Miller 3
Miller 4
Wisconsin 0
Wisconsin 1
Wisconsin 1.5
Wisconsin 2
Wisconsin 3
Wisconsin 4
“C” Cell Handle
“AA” Cell Handle
Stubby Handle
NA
4071D-20
4072D-20
4073D-20
4074D-20
4080-0D-20
4080D-20
4081D-20
4082D-20
4083D-20
4084D-20
NA
NA
NA
NA
NA
NA
NA
4065D-20
NA
LIMITED WARRANTY
American Diagnostic Corporation (ADC®) warrants its products against defects in materials and
workmanship under normal use and service as follows:
1. Warranty service extends to the original retail purchaser only and commences with the date
of delivery.
2. Your Laryngoscope is warranted for one year from date of purchase (all parts).
What is Covered: Replacement of parts, and labor.
What is Not Covered: Transportation charges to and from ADC®. Damages caused by abuse,
misuse, accident, or negligence. Incidental, special, or consequential damages. Some states do not
allow the exclusion or limitation of incidental, special, or consequential damages, so this limitation
may not apply to you.
To Obtain Warranty Service: Send item(s) postage paid to ADC®, Attn: Repair Dept.,
55 Commerce Dr., Hauppauge, NY 11788. Please include your name and address, phone no.,
proof of purchase, and a brief note explaining the problem.
Implied Warranty: Any implied warranty shall be limited in duration to the terms of this warranty
and in no case beyond the original selling price (except where prohibited by law).
This warranty gives you specific legal rights and you may have other rights which vary from state
to state.
To Register Your Product, visit us at
www.adctoday.com
This manual is available in a variety of languages,
follow the links for language options.
and follow the links
www.adctoday.com/care
FOR QUESTIONS, COMMENTS, OR SUGGESTIONS
CALL TOLL FREE:
1-800-ADC-2670
ADC
55 Commerce Drive
Hauppauge, NY 11788
U.S.A.
ADC (UK) Ltd.
Unit 6, PO14 1TH
United Kingdom
IB p/n 9358-00 rev 12
Inspected in the U.S.A.
Reusable models: Made in Pakistan
Disposable models: Made in Taiwan/China
tel: 631-273-9600
toll free: 1-800-232-2670
fax: 631-273-9659
www.adctoday.com
[email protected]
Printed in the U.S.A.
Thank you for choosing an ADC® Satin™ Laryngoscope.
Device Description and Intended Use
A Laryngoscope is a two-part, hand held device consisting of a handle that contains batteries and a
detachable blade. Laryngoscopes are designed to provide illumination within the larynx during the
process of performing intubations. This instruction book covers standard, fiberoptic type and disposable
laryngoscopes. Fiberoptic Laryngoscopes are indicated by an “F” following the item number /
Disposables are indicated by a “D” following the item number.
Contraindications
The following are only relative contraindication to tracheal intubation:
1. Severe airway trauma or obstruction that does not permit safe passage of an endotracheal tube.
Emergency cricothyrotomy is indicated in such cases.
2. Cervical spine injury, in which the need for complete immobilization of the cervical spine makes
endotracheal intubation difficult.
General Warnings !
A warning statement in this manual identifies a condition or practice which, if not corrected or discontinued immediately could lead to patient injury, illness, or death.
WARNING: Federal law restricts this device to sale by or on the order of a physician or licensed healthcare
practitioner.
WARNING: ONLY TRAINED PERSONNEL SHOULD USE A LARYNGOSCOPE FOR INTUBATION
WARNING: ADC® recommends that spare lamps, batteries, and replacement parts always be available for
emergency use.
High Level Disinfection for Standard and Fiberoptic Blades
To achieve high level disinfection, a 2.4% glutaraldehyde solution (Cidex® or equivalent) must be prepared
at 77°F (25°C) to the manufacturer’s instructions. The blades should be fully immersed in the disinfectant for
a minimum of 45 minutes. No air bubbles should be visible on the immersed blades during this soak time.
The blades should then be removed from the disinfectant and immersed in purified water to rinse off all disinfectant. Immersion should be for a minimum of one minute and the process should be repeated two additional times using fresh purified water each time. Once rinsing is complete, the blades should be thoroughly dried
using a sterile, lint-free cloth. Note: Always allow blades to completely dry before use.
High Level Disinfection for Disposable Fiberoptic Blades
Disposable fiberoptic laryngoscope blades are supplied non-sterile. They are designed for single patient
use only and are not disinfected after use. Gas sterilization by Ethylene oxide following these guidelines.
Temperature 55°C (±5°C) EO pressure - 180 mmHg (± 20 mmHg) Chamber pressure 210mmHg (±20mmHg).
High Level Disinfection for Standard and Fiberoptic Handles
To achieve high level disinfection, a 2.4% glutaraldehyde solution (Cidex® or equivalent) must be prepared
at 77°F (25°C) to the manufacturer’s instructions. The end caps of the handles, lamp cartridge and bulb, and
batteries must be removed. Both the end caps and handles should be fully immersed in the disinfectant for a
minimum of 45 minutes. No air bubbles should be visible on the immersed components during this soak
time. The components should then be removed from the disinfectant and immersed in purified water to rinse
off all disinfectant. Immersion should be for a minimum of one minute and the process should be repeated
two additional times using fresh purified water each time. Once rinsing is complete, the components should
be thoroughly dried using a sterile, lint-free cloth. Note: Always allow components to completely dry before
reassembling the handles, inserting batteries, or using the devices. Lamp cartridge and bulb can be wiped
with a cloth dampened with 70% isopropyl alcohol. DO NOT ALLOW SOLUTION TO ENTER INTO THE CARTRIDGE. The lamp cartridge and bulb CANNOT be SOAKED OR AUTOCLAVED.
WARNING: The sterilization guidelines included in this instruction booklet, provided by American
Diagnostic Corp. (ADC®), are intended as procedures compatible with specific materials. Sterilization must
be performed to approved hospital protocol. ADC® cannot guarantee that any of the recommended methods
will guarantee sterility. This must be validated by the hospital and/or sterilization equipment manufacturer.
Steam Sterilization for Standard and Fiberoptic Blades and Handles
Sterilizer Type:
Prevacuum
Sterilizer Type:
Preconditioning Pulses:
3
Minimum Temperature:
Minimum Temperature:
269.6°F (132°C)
Full Cycle Time:
Full Cycle Time:
4 minutes
Minimum Dry Time:
Minimum Dry Time:
20 minutes
WARNING: Fiberoptic handles may be used with ALL fiberoptic blades (reusable or disposable) that
conform to the ISO 7376 standards. Standard handles may be used with any standard blades that conform
to the ISO 7376 standards. Standard and fiberoptic blades and handles are NOT interchangeable.
Repair/Maintenance
Operation of all Laryngoscope Models
Off Position
To turn off, push blade downward into off position and disconnect
from handle. (See Figure 1).
Handle Rod
Pull Blade Up
Into On
Position
Battery Replacement: (Reuseable Models)
1) Unscrew bottom cap of handle and remove batteries.
Main
Handle
2) Replace with appropriate size battery, taking care to insert positive ends
first. Screw bottom cap on and tighten. (Figure 2).
Batteries
NOTE: Alkaline batteries should be used with your handle for maximum
performance and are recommended for replacement. Ordinary carbon zinc
batteries may also be used.
➱
To Activate: Attach selected blade onto handle by hooking blade onto
handle rod as shown in Figure 1. Pull blade upward to open position to
automatically activate light.
Gravity
249.8°F (121°C)
30 minutes
15 minutes
On Position
Figure 1
Compatibility/Standards
Standard ADC® Satin™ Laryngoscopes conform to current ISO 7376 standards. They are compatible with
virtually all major brands of standard illumination hook on blades and handles.
Fiber optic ADC® Satin™ Laryngoscopes and Disposable Laryngoscope blades conform to current ISO
7376 standards. They are compatible with virtually all major brands of fiber optic illumination hook on
blades and handles. For easy visual identification, ALL Fiber Optic models are clearly delineated by a
green indicator on both handle and blade.
Battery Replacement: (4067F Stubby Handle)
1) Unscrew bottom cap of handle and remove battery insert.
Figure 2
2) Replace with appropriate size batteries. Insert 1 battery positive end first
and the other negative end first into battery insert, paying attention to the
polarity markings. Slide battery insert back into handle following the
direction of the “Insert This Way Only” arrows. Screw bottom cap on and
tighten. (Figure 3)
Main
Handle
Cleaning, Disinfecting, and Sterilization Procedures
NOTE: Alkaline batteries should be used with your handle for maximum
performance and are recommended for replacement. Ordinary carbon zinc
batteries may also be used.
ADC® Satin™ Laryngoscope blades are crafted from rugged stainless steel. ADC® Disposable Fiberoptic
Laryngoscope blades are crafted from poly-carbonate, and are for single use only and should not be cleaned
or sterilized. Reusable handles are machined from chrome-plated brass or anodized aluminum. To ensure
maximum life and optimum performance, the following instructions should be strictly adhered to.
Disposable handles are made of ABS, and are for single use only and should not be cleaned or sterilized.
Lamp Replacement: (Standard Models)
For correct illumination, alignment, and assurance of watertight seal during
immersion/autoclave, we recommend using only ADC #4500-1 and #4501-1
replacement lamps for standard blades.
See the sections on the reverse panel for specific cleaning, disinfection, and sterilization
procedures for your laryngoscope type.
1) To remove lamp on standard blades, grip lamp collar and rotate lamp
counterclockwise until free.
Cleaning Procedure (all reusable models): Almost immediately after use, Laryngoscope Blades
should be cleaned to prevent blood, saliva etc. residues from drying. On Conventional blades, the lamp
socket and wires are an integral part of the blade for cleaning and replacement.
3) Verify that lamp is sufficiently tightened before use.
WARNING: Ultrasonic cleaning is not recommended.
CAUTION: Be sure lamp’s glass surface is clean and free from fingerprints after assembly. If necessary,
the glass may be cleaned with a soft cloth or cotton ball moistened in alcohol.
Insert This Way Only
AA Battery
AA Battery
2) Replace the lamp with a new ADC lamp.
Battery
Insert
Figure 3
Disinfection/Sterilization Warnings for All Laryngoscope Blades
CAUTION: ADC® laryngoscope blades do not come sterilized. The Sterrad process is NOT to be used
with disposable fiberoptic blades or fiberoptic blades.
Lamp Replacement: (Fiberoptic Models) For correct illumination and alignment we recommend using
only ADC replacement lamp model #4532-1 (Figure 4).
WARNING: Flash autoclaving and hot air sterilization are not recommended, these processes will damage the instrument. The repeated high temperature and changes in temperature caused by autoclaving
will shorten the life of all laryngoscope products.
1) Prior to removal, allow lamp time to cool.
2) Unscrew the laryngoscope head from the barrel of the handle in a counterclockwise direction. Cartridge (lamp holder) will remain in head (top portion of handle).
3) Unscrew the cartridge from the head in a counterclockwise direction.
WARNING: Do not immerse blades in Bleach, Betadine, or peroxide solutions. Doing so will severely
damage the instrument. Also, avoid metal to metal contact on non-disposable blades.
4) Unscrew the plastic shroud from the cartridge in a counterclockwise direction.
Disinfection/Sterilization Warnings for All Battery Handles:
CAUTION: Do not allow excess fluid to seep into electrical contact. Be sure that the top and bottom of
the battery handle are secure before use. Poor maintenance of this device or failure to follow the warnings
in this instruction booklet could result in device failure and/or patient injury. NOTE: Remove Lamp cartridge,
bulb, and batteries before disinfecting/Sterilizing.
Basic Cleaning Procedure for Standard and Fiberoptic Blades
Prepare a Klenzyme ®, Manu-klenz™, or equivalent cleaning solution as per manufacturer’s instructions
and soak for ten minutes. Rinse devices with lukewarm running tap water for one minute to remove any
residual detergent after cleaning. Dry with a clean, lint-free cloth.
Basic Cleaning Procedures for Standard and Fiberoptic Handles
Prepare a Klenzyme®, Manu-klenz™, or equivalent cleaning solution as per manufacturer’s instructions.
Remove both end caps, lamp cartridge and bulb, and batteries from device, and rinse with lukewarm tap water
until all visible contamination has been removed. Soak handle and end caps in the prepared solution for a
minimum of ten minutes, ensuring that all components are fully submerged. After the soak, the components
should be scrubbed with a soft bristled brush paying particular attention to hard to reach areas. Rinse with
cool running tap water to remove all residual detergent. Dry with a clean, lint free cloth. Note: Always allow
handles to completely dry before disinfection or use. Lamp cartridge and bulb can be wiped with a cloth
dampened with 70% isopropyl alcohol. DO NOT ALLOW SOLUTION TO ENTER INTO THE CARTRIDGE. The
lamp cartridge and bulb CANNOT be SOAKED OR AUTOCLAVED.
5) Unscrew the lamp in a counterclockwise direction.
6) Replace the ADC® lamp and tighten it sufficiently.
}
Lamp
Holder
Cartridge
Assembly
Figure 4
7) Replace the plastic shroud and screw the cartridge back onto the head.
8) Screw the head back on the barrel of the handle.
CAUTION: Be sure lamp’s glass surface is clean and free from fingerprints after assembly. If necessary,
the glass may be cleaned with a soft cloth or cotton ball moistened in alcohol.
Fiber Optic Light Guide Replacement
1) Loosen the locking screw with a screwdriver. (Note: This screw is NOT designed to be completely
removed. This prevents the screw from falling out while the laryngoscope is in use. DO NOT attempt to
remove this screw from the laryngoscope blade.)
2) Pull out the green base of the fiberoptic bundle and slide out the light guide
(Figure 5).
(Note: The fiberoptic bundle is tightly fitted and may be difficult to remove.)
3) Insert new fiberoptic bundle by reversing the above steps.
4) Tighten the locking screw, ensuring that the fiberoptic bundle is securely
attached to the laryngoscope blade.
Figure 5
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