Substance or material

PELl

used
to enhance heat disinfection, both a test for the concentration
of the chemical and a means of verifying time and
Acetic
acid
10 ppm TWAbJ
temperature shall be established.
Chlorine dioxide (syn.: chlonne oxide)
0.1 ppm TWA
7 .2.3 Maintenance
Citric acid
None developed
Written maintenance procedures and a schedule of preventive maintenance activities designed to rrururmze equipment
Formaldehyde
0.75ppmTWA
malfunctions should be established. In the case of
purchased reprocessing equipment or safety equipment, the
recommendations of the vendor should be followed unless documented experince supports alternative approaches. lf
the manufacturer's recommendations are unavailable,
equipment
and safety equipment should be inspected on a
2 reuse
ppm STELcJ
(15 min)
semiannual basis. A record shall be kept of preventive maintenance activities (see 4.3), accompanied by the signature of
the person performing the maintenance.
0.5 ppm action level
7 .2.4 Repairs
Glutaraldehyde
0.2 ppm ceiling NIOSH/OSHA
lf the reprocessing
system fails to function as expected,
qualified
Hydrogen
peroxide
1 ppm
TWA personnel should investigate and correct the problem.
The reprocessing system function testing should be repeated after repairs of automated equipment and, if appropriate,
after repairs
dialyzer
is reprocessed or the reprocessed dialyzer is used for
Peracetic
acid of manual equipment before either theNone
developed
clinical dialysis.
Phenol
5ppmTWA

Physical plant and environmental safety considerations

8.1

Reprocessing area and ventilation

The reprocessing area should be designed to suit the operation carried out and must be able to maintain acceptable
arnbient concentrations of harmful substances (see Table 1 ). The area should be kept clean and sanitary. lt may be part
of the dialysis treatment area, as long as equipment used is properly designed and vented to meet the requirements for
environmental safety (see 8.5).

Table 1-0SHA environmental exposure limits (29 CFR 1910, 1 July 1998), exceptas indicated

ppm parts per million; NIOSH = National lnstitute for Occupational Safety and Health; OSHA
Administration.

= Occupational Safety and Health

1PEL (permissible exposure limit) represents the limit of what employees can be exposed to; PELs can be TWAs or STELs. b TWA
1

(time-weighted average) represents the limit of what an employee can be exposed to in an 8-hour period.
c1STEL

8.2

(short-term exposure limit) represents the limit of what an employee can be exposed to in any 15-minute time period.

Storage area

Reprocessinq materials, hemodialyzers awaiting reprocessing, and reprocessed hemodialyzers should be stored so as
to minlrnze deterioration, contamination, or breakage. Access to the storage area should be limited to protect the
integrity of the reprocessed dialyzers and the cohfidentiality of patient information included on the labels. New, used, and
reprocessed dialyzers should be segregated to make clear the status of each group of dialyzers. Environmental
contamination of the storage area should be controlled and monitored if the personnel determine those actions to be
necessary.' Storage areas fer new dialyzers and reprocessing materials should be designed to facilitate rotation of stock
and cleaning. Storage arrangements should also take into account tire safety considerations, OSHA regulations, and
other appropriate regulations.

2008 Association for the Advancement of Medical lnstrumentation ANSI/AAMI RD47:2008

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