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Recommended Steam Sterilization Monitoring Pro- gram Physical monitors (temperature and pressure measuring devices) can be used to help detect failures in sterilizer function. The sterilizer notifies the user if ster- ilization conditions fall outside of established limits. It is recommended that the Printer Accessory be used to create a record of each load's actual cycle time, temperature, and pressure. Process monitors, such as biological indicators and chemical indicators, should be included in each sterilization cycle. The process monitors detect whether the cycle parameters were delivered. Process monitors cannot establish that a pro- cessed item is actually sterile. If the monitors detect a failure, the user must de- termine the source of the failure. Failures could result from improper packaging, loading, or sterilizer malfunction. Follow the process monitor manufacturer's in- structions for proper selection, storage, use, and interpretation of their devices. Follow the appropriate agency (state dental or medical board) for sterilization monitoring guidelines for your office. Additional information can also be ob- tained from CDC, AAMI, OSAP, and ADA regarding monitoring programs or oth- er sterilization issues. Sterilizer Preparation Before Operation Operation EQUIPMENT ALERT OCheck the serial number label (1) on the back panel of the steriliz- er to verify the voltage rating for the unit. Failure to do so could re- sult in damage to the unit. 1. Locate the sterilizer and plug in its power cord in accordance with the Instal- lation instructions contained earlier in this manual. EQUIPMENT ALERT OUse only distilled or demineralized water. Normal tap water con- tains minerals, especially chlorides, which have corrosive effects on stainless steel. Failure to use distilled or demineralized water may cause serious deterioration and premature failure of the stainless steel chamber which could result in serious injury or death.