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r 3M Steam Sterilizer Record Keeping Check product used (see instructions for use for cycle parameters): ❑ Rapid Attest BI 1291 ❑ Rapid Attest BI 1292 ❑ Attest BI 1261 ❑ Attest BI 1262 ❑ Rapid Enzyme Indicator (REI) Cat. No. 1266S Useone per sterilizer load. Do NOT cover the holes on the Attest indicator cap or the area below the pre -affixed label with another label. Date load No. Sterilizer No. Load Contents / Reference / Patient Calibration of Auto -Reader Chemical Indicator I Incubation and Well Number Mfg.Lot No./ Initials Indicator Results (Circle One) Rapid Reference /Patient Time/ Integrator We Time In/ ime Out/ (Check Product Fluorescence Visual Color REI Control Result Change RH Initials Integrator Number Initials Initials Used) 1 hr. 3 hr. 24 ht 48 hr. 20 sec. Fluor. Visual Date Load No. Sterilizer No. 6f t time/ Dep Reject I C;'� r! � t + t + t + t Date Load No. Stcrihzer No. CJisI ""pt ❑ Enzyme + + + + t + + Date Load No. Sterilizer No. t .�� 1 /T('►�r',�t, *,t+L./ 9-00(3 Reject �� �_OQ ❑BI + t + t t + D S/; t✓w• �, vv�, Reject ❑ Enzyme Date Load No. Sterilizer No. ❑Enzyme Date Load No. Sterilizer No. , Accept + t t + + Reject - - - - - � .I ❑ Enzyme Action Taken: 3M Health Care 3M Center, Building 275-4E-01 St. Paul, MN 55144-1000 *Department relative humidity © 3M 2002 3M Steam Sterilizer Record Keeping Check product used (see instructions for use for cycle parameters): ❑ Rapid Attest BI 1291 ❑ Rapid Attest BI 1292 ❑ Attest BI 1261 ❑ Attest BI 1262 ❑ Rapid Enzyme Indicator (REI) 38-9001-4627-5 Printed in the U.S.A. Cat. No. 1266S Use one per sterilizer load. Do NOT cover the holes on the Attest indicator cap or the area below the pre -affixed label with another label. Date Load No. Sterilizer No. Load Contents / Calibration of Chemical Incubation and Mfg.Lot No./ Indicator Results (Circle One) Reference /Patient Auto -Reader Indicator / Well Number Ltitial, Rapid Integrator Fluorescence Visual Color REI Control time/ Well I Time In/ ITin Out/ tCheck Product Result Change RH' Initials `umber i rtials Initials Used) I hr. 3 hr. 24 hr. 148 hr. 20 sec. Fluor.''Visual' Date Load No. Stcrihzer No. ""pt + + + + t + + Reject ❑BI - - - - - - - ❑ Enzyme Date Load No. Sterilizer No. Accept + + t + + t t Reject ❑ BI []Enzyme Date Load No. Sterilizer No. Accept t t + + + + t