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3M Steam Sterilizer Record Keeping <br />Check product used (see instructions for use for cycle parameters): <br />❑ Rapid Attest BI 1291 ❑ Rapid Attest BI 1292 ❑ Attest BI 1261 ❑ Attest BI 1262 F] RaDid Enz.vme. Tntiir•arnr MII <br />Cat. No. 1266S <br />Use one per sterilizer load. <br />Do NOT cover the holes on the Attest <br />indicator cap or the area below the <br />Date Load No. Sterilizer No, <br />Load Contents / <br />Reference / Patient <br />Calibration of <br />Auto -Reader <br />Chemical <br />Indicator / <br />Incubation and <br />Well Number <br />Mfg.Lot No./ <br />Indicator <br />Ra id <br />Kap <br />Results <br />_ _ v <br />( Circle <br />One ) <br />RH <br />Time/ <br />Initials <br />Integrator <br />Well Time In/ ime Out/ <br />Initials <br />(Check Product <br />Fluor sc <br />Visual Color <br />Change <br />REI <br />Control <br />Date Load No. Sterilizer No. <br />6Y1` nm � ` <br />iYt`'\' <br />Number Initials Initials <br />Used) <br />I hr. 3thr. <br />24 hr. 48 hr. <br />20 sec. <br />Fluor. Visual <br />S a.nl <br />$ <br />t <br />Accept <br />t t <br />t t <br />t <br />t <br />l <br />�� <br />a <br />Reject <br />� !1 Q qP <br />jV/(',J(' <br />BI <br />_ <br />Ale—va <br />❑Enzyme <br />Date Load No. Sterilizer No. r <br />t „ f)_ •,�,,; ) I LLI_ , <br />l�y�L j r a ✓ <br />4J l.� <br />L d <br />j D ` V �/ <br />Accept <br />%OO <br />�- <br />/ <br />+ <br />+ <br />+ <br />t <br />0/ <br />P� <br />� <br />��f� <br />d a 4. <br />4 *h <br />Reject <br />(////���x/j <br />A0 <br />CCC/// <br />LL��JJ BI <br />❑ Enzyme <br />Date Load No. Sterilizer No., <br />1 <br />�w wµ� <br />eJfb(Z _ , <br />M <br />/6,V� <br />t <br />t <br />t <br />+ <br />t <br />+ <br />+ <br />Reject <br />�� <br />I <br />�� <br />� <br />❑Enzyme <br />Actin Talacen•' <br />•Departatent relative humidity <br />® 3M 2002 <br />3M Steam Sterilizer Record Keeping <br />Check product used (see instructions for use for cycle parameters): <br />❑ Rapid Attest BI 1291 ❑ Rapid Attest BI 1292 ❑ Attest BI 1261 ❑ Attest BI 1262 ❑ Rapid Enzyme Indicator (REI) <br />Date Lod No. Sterilizer No. Load Contents / Calibration of Chemical Incubation and <br />Reference /Patient Auto -Reader I Indicator I Well Number Mfg_Lot Na/ <br />38-9001-4627-5 <br />Printed in the U.S.A. <br />Cat. No. 1266S <br />Use one per sterilizer load_ <br />Do NOT cover the holes on the Attest <br />indicator cap or the area below the <br />pre -affixed label with another label. <br />Indicator Results (Circle One) <br />Ranid I I I <br />9 <br />