EP1505919A1

EP1505919A1 - Portable insert and method

Info

Publication number: EP1505919A1
Application number: EP03712066A
Authority: EP
Inventors: Robert Simmoteit; Klaus Roth
Original assignee: Individual
Current assignee: Individual
Priority date: 2002-05-02
Filing date: 2003-03-20
Publication date: 2005-02-16
Also published as: DE10219431B4; DE10219431A1; WO2003092524A1

Abstract

The invention relates to a portable insert or a functional tray and to a method for preparing products and the procedures involved. The invention covers, among other things, the transport and the use of said insert at the site of application, in addition to a visual or electronic data exchange. In embodiment (10) A, B and C represent a sequence of possible stations in a preparation process. In station A, an instrument (6) is fixed to the support in combination with a holder (5). Subsequently in station B, the insert is combined with an additional support structure (7), is introduced into a machine and is treated. At station C, the easily transportable insert is provided with a protective structure (8), producing transport packaging, and is transported to the application site. The re-usable insert part is re-introduced into the preparation process comprising phases A, B and C. According to the invention, (10) represents an embodiment in the form of a functional tray with holders (5), in which medical instruments (6) are stored. The functional tray is portable, can be used e.g. in washing, cleaning, disinfection and sterilisation machines and has a structure that facilitates the method, consisting for example of a support structure (1) and an information structure (2). The invention is characterised in that the insert comprises ricochet surfaces (3) and/or (4), to configure a modifiable, treatment chamber that can be traversed if its location is suitable, or an appropriate surface for carrying out the method in or outside a machine. The invention is also characterised in that the preparation in and outside a machine is procedurally assisted by a direct influx of treatment medium at appropriate washing pressures. The embodiment (10) permits, in conjunction with a washing bar, an efficient pre-cleaning of hollow instruments. Basic features of said invention are that the instruments (6) need not be removed from the insert after or during the preparation process and that the insert can be used in conjunction with a protective structure to produce (8) a versatile transport, storage and protective packaging.

Description

Dr. Robert Simmoteit Ring Road 11 72414 Rangendingen

Klaus Roth

Friedrichstrasse 15 72131 Ofterdingen

- I -

Our sign / Our ref. Date:

RSI 104-PCT-1 17.03.2003

Transportable use and procedure

The invention relates to a transportable insert or a functional tray and a method for product preparation and beyond. The invention includes, inter alia, the transport and use at the site and a visual or electronic data exchange with a.

Inserts and trays for machines in the field of reprocessing, medicine or restaurant operation and in the preparation of instruments are widely known from the prior art.

Trays are also widely used in the product transport of medical devices as well as in the home and in commercial kitchens. Trays must be clean and reusable. The usual trays, for example, have only the function of transporting or positioning products. Special treatment inserts z. B. in machines are used in the reprocessing of medical devices and in the home and in commercial kitchens. The machine manufacturers offer universal cleaning inserts without precise coordination with the product design. The manufacturers of these missions pursue the goal of reprocessing as many products as possible with one mission. These inserts are usually interchangeable and made of metal. After collecting The instruments must be placed in sturdy large-capacity containers to allow sterilization.

The reprocessing processes of medical devices are mainly used for very expensive and complicated products. On the one hand the sources of infections and impurities on the product surface are to be eliminated, on the other hand the damage of the product during the reprocessing is to be prevented. Inadequate cleaning leads to stiffness, loss of function, repair failure and reduces the quality of disinfection and sterilization. The reuse of products must take place under defined and controlled conditions. The reprocessing of medical devices must not pose a risk of damage to health, in particular in the sense of infections, pyrogenic, allergic and toxic reactions or due to altered technical and functional properties of the medical device.

One approach was presented in US Pat. No. 5,743,734. Here a portable instrument holder for dental instruments is described. However, this can not be used for cleaning and is not suitable for instruments with cavities. Another patent, such as DE 4221102 describes an apparatus in combination with cleaning methods. The disadvantage of these product uses is that the products or instruments must be removed several times during the entire treatment process and cleaning does not take place effectively. In addition, insufficient solutions for dental instruments can be found in DE 196 46 024 C2 patent application.

Today's washer-disinfectors have cleaning inserts with direct feed of cleaning agents. Despite these devices, the necessary solution pressures and flows are not achieved in the cleaning processes to achieve clean instrument surfaces. The connections for instruments to the medium circulation in the machines are cumbersome or deficient. An adequate flushing of the cavities with cleaning medium does not take place. Manufacturers of the machines are reluctant to scrutinize the cleaning efficiency by using highly sensitive methods - such as the radionucleotide method - in combination with standard cleaning surfaces, as this clarifies where cleaning fails. However, this is important because poor cleaning performance in medical instruments has a negative impact on sterility performance and instrument safety.

The number of different instruments currently available for medical use is constantly increasing and is already unmanageable. This results in the Known problem that the adjustment of cleaning accessories can not meet these requirements. State of the art today are removable machine inserts made of stainless steel mesh or stainless steel perforated sheet partially with bracket. A particular disadvantage of today's operations is the positioning of the instruments. The machines, fixtures and inserts are designed so that the cleaning requirements of a specific instrument design are not adaptable and generally not suitable for further sterilization. Another disadvantage is that the treatment conditions of the machines are fixed and can not be subsequently changed individually. A coordination and significant change of the treatment conditions as well as the validation of the cleaning procedures and the traceability is not guaranteed. The state of the art is still the barcode. Extremely disadvantageous in the current methods is the necessary repacking, repackaging and sorting of the products, since the instrument inserts are either bulky or transportable only with bulky accessories such as trolleys. Product damage and product mix-ups can not be traced.

The above disadvantages in the reprocessing or reprocessing of medical devices, in particular of instruments and devices are transferable to other products undergoing a cleaning process. These include products in daily use, where a high processing performance and efficiency with high efficiency is required. Disadvantages that also widen, since there is no suitable purpose-oriented product arrangement after processing, which increases the consequential costs and thus the overall costs.

The invention is therefore based on the object to develop a transportable, versatile use or functional tray and method for the field of treatment and beyond. Here processes and procedures should intermesh and enable a data exchange. Specifically, it aims to ensure the effective cleaning of product areas, products with cavities and hard-to-reach areas, including documentation requirements, safety, validation and product transport.

This object is achieved by a portable insert according to claim 1 or in the form of a functional tray according to claim 35 and by a method according to claim 41. The dependent claims relate to advantageous embodiment of the invention. In the present invention, the term "product processing" also means:

- Pre-cleaning of products with aqueous media with and without machine application, positioning of the products on the application with respect to the subsequent application, - Product composition as a set,

- provision of product information,

- sterilizing products,

- Manufacture of packaging or packaging of products, and the

- Transport of products during processing as well as to the customer and back.

In the present invention, the term "beyond" in the context of product processing also means:

- removal of the products from the customer, - sterilization by physical or chemical processes during use,

- visualization of the products in the application,

- Readable quality assurance and traceability information for the customer, presentation of materials, substances and products

- reading in and out of data or data acquisition and exchange, and - product protection during use and return transport by the customer and

After-treatments which the customer carries out before or after use.

The invention solves the problem by a transportable insert or functional tray, can be used in a machine, supports methods and process parameters and in particular prevents cleaning shadows. Outside a machine, the invention represents a functional tray and allows an effective pre-cleaning and product transport with the further possibility of product applications and presentations z. B. in medicine or in the consumer sector. The invention combines economical processing and practical handling in combination with a novel technique and methods. This includes processes after cleaning, such as sterilization and product transport

(Return transport) and the application at the customer. The insert or functional tray according to the invention can be provided with or without holders and can be used in dishwashing, cleaning, disinfecting and / or sterilizing machines.

Essential to the invention here is that the use in a machine at least one process parameters such. B. can change the flow and force at least in part and, for example, supports the cleaning performance of the media used. Essential here- is that the invention has at least one suitable rebound surface for treatment media. These baffles must not only be designed as pure surfaces, but can flat rebound structures or other rebound structures such. B. surveys or deformations included. Such bounce structures in the rebound area may even be preferable with respect to a particular conditioning process. For the sake of simplicity, the invention refers to rebound surfaces and not generally to planar bounce structures or bounce structures. It is preferred if the insert forms rebounding surfaces on the rear side and on the front side. The rebound area allows this to bounce off treatment media such as solutions, plasma, gases or sound waves and throws them back. One could also speak of falling back or jumping back. In the case of ultrasound, the sound waves at these surfaces reflect depending on the sound intensity. In the case of solutions, the rebound force is dependent on the pressure of the solution jet, and in the case of gases, water vapor rebounds from the surface depending on the pressure. The rebound area also has an effect on the sterilization in a combination of plasma and hydrogen peroxide treatment in a vacuum. For example, if the back of the product is at a suitable distance from the inventive rebound surface, the treatment medium will also impact the back surface of the product, depending on the impact angle. A vertical storage can be advantageous. It arise z. B. no cleaning shade. Even a rebound surface can restrict a treatment space in the direction of a treatment source and increase the efficiency of the treatment. Such a treatment room can only be changed on one side. Furthermore, by comparison of two inventive inserts in a machine or outside of a machine through the construction of the functional tray a suitable for the treatment of both sides changeable from above and below flow-through treatment room can be made possible. The shape and arrangement of the repellency baffles should be chosen so that at suitable flushing pressures in cleaning machines preferably turbulent flows between the instrument carriers arise. This flow, for example, which may also be pulsatile, thereby improves the cleaning or conditioning performance of products that are located in this treatment room. The rebound surfaces may be smooth or textured, depending on the application, to assist turbulence and rebound of the cleaning fluid. The rebound force depends on the pressure and type of media. Furthermore, the arrangement of the rebound surfaces allows an adjustable distribution and propagation of the media used such as solutions, gases but also ultrasound waves in the delimited treatment room, if this is easily accessible to the media. Without changing the machine performance, suitable treatment conditions can subsequently be changed. These surfaces may also have passages or holes, provided that this is not disadvantageous for the treatment process. An advantage is a controllable directional and definable medium ström. It is also essential to the invention that the use of the product presentation as well as the preparation of the product preparation, for. B. by a simple pre-cleaning with water, without the products must be removed after use. For this purpose, the invention supports or functional elements such. B. rinse strips have changeable, can be formed or exchanged. The brackets are designed so that they do not pose a barrier to the media. Furthermore, the use as a functional tray, the application in work areas such. As the office, the kitchen or support in the OR and thus not limited to the treatment.

The invention is further characterized in that it has a process-supporting structure which is preferably formed from at least one carrier and information structure. The information structure supports the preparation, the subsequent transport, the product removal and the product presentation at the customer or user z. B. by providing electronic data or documentation modules. The carrier structure carries products or forms the product itself and contributes significantly to the stabilization. It is essential to the invention that a versatile transport, storage and protective packaging or a sterile container can be made or produced from the insert or functional tray in conjunction with a protective structure or box or lid.

It is preferred if the instruments on the insert go through the entire treatment process with subsequent sterilization and packaging, without leaving the job. During the preparation, the insert, which can alternatively be foldable or divisible, z. B. welded to a protective film or secured with a lid. Especially if the insert has the form of a plate. This forms an additional sterile or hygienic barrier and enables easy, safe and space-saving product transport. Further, it may be preferred that the protective structure z. B. can be easily removed by peeling through a film. The stability of the insert and the brackets or other fixings ensure that the products do not fall off.

Particularly preferred here is an embodiment of the invention in the form that in the application and the methods carried out no additional support structures are necessary. It may further be preferred that parts of the insert are used only once. Especially parts that are subject to wear.

In the preferred embodiment of the invention, the process-supporting structure and the protective structure consist entirely or partially of a stable, at least partly example, transparent material or a combination of materials from the group of plastics, memory materials, dyes, phosphors, natural products or amorphous substances, such as. Glass, is selected.

In a further preferred embodiment of the invention, the process-supporting structure and the protective structure consists wholly or partly of a resistant opaque material or combinations of materials, which is selected from the group of metals, memory materials, ceramics, dyes, phosphors, natural products or plastics.

In a further preferred embodiment of the invention, the process-supporting structure and / or the protective structure consists of a combination of resistant opaque and at least partially transparent materials.

The preferred embodiment of the invention includes at least one structure in which parts or data are changeable or exchangeable.

The further preferred embodiment of the invention has at least one support structure with holders of any type and shape which has an integrated or embedded or surface Liehe information structure. The holder can in this case be made completely or only partially by a deformation of the support structure and in this embodiment allow additional stabilization of the support structure. Advantageous are holders or a support structure which is interchangeable. For example, wire holders are preferred which are accessible from all sides. In particular, these holders can be arranged individually on the tray or changeable connected to the tray. It is important that the brackets are adjusted to the required cleaning, disinfection or sterility performance. Here anchorages in the form of hole structures but also clamping structures are either connected to a support structure as a plate but also in the form of a wire frame or grid. Protective covers may be used to protect against the penetration of aqueous media. Advantageous are mounts made of memory materials such as bimetal, Nitionol or plastics. It may be advantageous that, for example, at room temperature product removal is improved, whereas in the cleaning machine at higher temperatures, the products are clamped in the brackets solid and secure. Memory materials from the field of bimetals in combination with plastics such as silicone or pure shape memory polymers can be used here. The brackets should be designed so that the products have a low Have support surface in the holder to be better cleaned and sterilized can. In this case, holders which have two support points are preferred.

As a preferred embodiment of the invention, it has changeable, preferably exchangeable, information or replaceable parts in the information structure to support the methods. These can also be introduced retrospectively in order to improve the validation and traceability of the treatment. Preferably, quality, product, process information and / or representations, eg. In the form of security tags, holograms, barcodes or product images. The latter supports the product recognition in such a way that an automatic product identification by the machine can take place. The introduction and reading of the information can advantageously by a physical method such as, for. B. done with laser light or electronically. Visual representations, as mentioned above, can improve the handling security of instruments, but can also be used for advertising or safety advice. Labeling of the arrangement positions, specifications for the correct instrument arrangement as well as treatment and operating information are helpful for the quality-oriented and effective product preparation. In addition, this also applies to the removal of instruments in the operating room. All in all, not only information about the product, such as the article number, the manufacturer's name of the device, but also the reprocessing information, reprocessing procedure, preparation data and sterilization date are important. Information that is currently customary on barcodes is no longer sufficient to enable traceability of the products in the procedures. Warnings and instructions for technical testing on the insert or tray are also quality-relevant for handling.

With regard to the use of symbols and the marking, the insert or the functional tray is designed so that sufficient areas are available. These and the above marking are not sufficient or not given when using the current cleaning baskets. The use of transparent information structures, such. As product labels, product representations, images or holograms may be preferred, especially if a product recognition from below should be possible. It facilitates z. As the operation control and removal of instruments in darkened operating rooms. In addition, a transparent product carrier allows a visual inspection of the product purity even after processing. Furthermore, even if the correct arrangement of the content, despite z. B. an attached after cleaning opaque protection structure must be verifiable. Alternatively, a control product (eg. Standard surface) at a suitable location on the transportable insert. This makes the applied method validatable and controllable.

In a further preferred embodiment, the insert or the functional tray is completely or partially transparent. A suitable material is z. B. Polyphenylsulfone (PPSU). PPSU is harder than polycarbonate, dimensionally stable up to 190 ° C, resistant to chemicals and physiologically harmless. Alternatively, partially transparent Teflon can be used. Teflon has the advantage that this material is gas permeable and suitable for hydrogen peroxide or ozone treatment. This refinement makes it possible to illuminate the instruments in poorly lit surroundings by means of transmitted light. Alternatively, a florescent layer or light-generating structure in the tablet may also contribute to visualization. Suitable are sheet-like layers or carrier films of ceramic material, indium-tin oxide and silver in combination with phosphors. This luminescent film or layer converts electrical energy into light energy with high efficiency without generating much heat.

In a further inventive embodiment, electronic components such. B. transponders, storage media, displays, plastic chips, solar cells and flat film batteries be introduced and form part or all of the information structure. Advantageously, as a layer between resistant layers of material or plates. In addition, preferably in the functional tray integrated data analysis devices such. b. Temperature measuring devices follow the course of the process and make it traceable. Alternatively, sensor modules are in the tray and determine z. As temperature data or indicate moisture. This makes it possible, the temperature profile z. B. thawing or heating of products on the inventive tray to analyze and document. This can be especially true in the preparation of food or sensitive products such. As agents, culture media and stored blood are important. The information can be read out and stored after processing. Alternatively it can be provided that parts of the information structure are exchangeable. For example, in the form of a removable film or layer and here containing sensor or other electronic modules. In particular, if parts of the information structure do not survive the reprocessing process unscathed. The advantage here is if the film is self-adhesive.

The further preferred embodiment of the insert according to the invention has a support structure and shape which is at least adapted to the processes in machines and transport and which can also be modified, dimensional stability, size and weight. It may be preferable that the support structure can be subsequently deformed after the preparation to z. B. to allow the product during transport more support and dimensional stability. The shape of the preferred insert and the containing support structure may be arbitrary. The insert or the support structure may be in the form of a rectangular, square, semi-circular or round surface, box, basket or cylinder, in their own right or in their entirety. The carrier and the information structure preferably consists of a planar structure such. As a plate or grid construction in combination with a film, membrane or layer. It would be advantageous if the films used are gas or water vapor permeable. Teflon would have the further advantage that this material withstands high temperatures, is very resistant to chemicals and is easy to clean. It is essential that extensive suitable rebound surfaces are present to throw back the cleaning solution. Alternatively, the insert may be in the form of a stable cylinder. This embodiment has the advantage that it is easy to generate turbulent flows. Also, in the cylindrical shape, tubular instruments or products can be thoroughly cleaned via inlets and outlets.

Advantageously, the insert or the functional tray z. B. be selected as an instrument tray without high edges or structures that are hinged, foldable or handy and in which the protective structure is easily removable. In this case, the use allows, for example by unfolding a simple preferably sterile product removal.

According to the invention, together with a protective structure, the z. B. is deformable, a package can be made. In this connection z. B. a positive cover or stable cover the products on the functional tray after cleaning, allowing safe sterile or hygienic product transport. The protective structure can in this case be preformed, but also subsequently brought into any desired shape. This can be z. B. by vacuum or by heat or mechanically induced. Alternatively, the protective structure dimensionally stable cover or enclose the functional tray. Alternatively, make a sterile and transport box in the form of a lid with filter elements.

Furthermore, it is preferred that the protective structure is preferably formed from a transparent cover to a manageable transport packaging. The protective structure usually consists of disposable material and should be easy to remove. These structures and materials as a whole constitute the invention or are at least part of the invention and may include functions.

In the further advantageous embodiment, it is possible to tilt the tubular instruments so that a leakage of the solution by gravity is possible. Here, the products must be kept safe in the brackets. Easy to remove fuse holders made of metal or plastic can take over this task here. The subsequent drying is thereby also improved. This is z. B. easy to accomplish by a vertical position of the insert or the functional tray. It is advantageous that the use in this position for very sensitive instruments, the z. B. tolerate no ultrasound treatment, given by a suitable positioning in the upper part. In this position it is guaranteed that this instrument will not be damaged as it has no contact with the cleaning solution. At the same time the treatment of the insensitive instruments with ultrasound is ensured without damage. To do this, immerse these instruments in the cleaning solution.

The use can also provide additional process-supporting functions in the treatment processes or in the presentation, z. B. support the treatment processes through chemical reactions and physical reactions. The reprocessing procedures are thereby additionally influenced and controllable. Furthermore, the sterility of the products during the treatment process and beyond would be supported.

In a preferred method-supporting embodiment, by a light activation chemical reactions on the surfaces, for. B. from below, without elimination of the overlying sterile barrier started. The formation of hydrogen peroxide on the surface would be such a chemical reaction. Hydrogen peroxide effectively kills bacteria. Alternatively, by a direct UV irradiation, a germ reduction or UV light can be produced by optical fibers in an intermediate layer.

In its preferred embodiment, the insert or the functional tray should correspond to the dimensions of dishwashing, cleaning, disinfecting and sterilizing machines and should be reusable. On this advantageously the instruments can also be sorted and positioned again after use. A safe return transport is guaranteed to the conditioner. Overall, the invention is suitable for the treatment process of medical devices and for all products that are offered in a set compiled and thereby require economic treatment and safe removal or handling. This can, for example, the food set in passenger transport or be required at fast food restaurants. Alternatively, here the products can be arranged so that the removal is adapted according to the intended use.

As another preferred embodiment of the invention, this consists of expandable materials or elements. These consist for example of spaced baffles and have specific product holders. Advantageously, several secure folding functions are possible up to the complete folding of the surfaces. Here are the instruments inside and are thus protected during transport. This is especially important as the function of the instruments is preserved. This design saves on the one hand space, on the other hand, economic packaging and efficient sterilization and product transport is possible.

Replaceable position holders and, for example, interchangeable hook-and-loop fasteners for drapes and products can be attached to the insert or functional tray. The reversible fixation of the drapes improves sterility security in the operating room and reduces product damage. Furthermore, these drapes absorb condensation fluid which is produced during steam sterilization and improve the sterility safety of the products on the functional tray. If a flat feedstock is preferably used, then the brackets in any position, for. B. be attached by gluing. Alternatively, magnetic holders allow a simplified fixation in combination with a metallic substrate. The possible covers may be sturdy and provided with filter inlets or flow to absorb condensate or allow steam sterilization. Overall, however, metallic or magnetic surface are disadvantageous for the electronic data exchange and must therefore be limited to the essential.

In a further preferred simple embodiment of the invention, this may take the form of a flat grid construction as a support structure z. B. be formed of metal. Below or in, a plate with product information is inserted. The fixed on the tray or tray instruments, here advantageously also in conjunction with the grid construction, so get an easily replaceable surface area as an information structure. The advantage of this construction is that the grid construction or the insert improves the stability of the entire insert. Also preferred are space-saving foldable grid structures. The actual weight of the transport insert is reduced if the grid construction does not have to accompany the transport. The invention makes it possible to leave without the inventive aspects including powerful data carriers or in combined application z. In the form of a food tray with displays, an electronic book, notepad, game console or screen. For this purpose, the inventive tablet has information modules, electronic components such as displays, transponders, etc., which are incorporated in the information structure. This functional tray is used after soiling in dishwashers and cleaned by machine. According to the invention, the front and back surfaces of the inventive tray are designed as rebound surfaces. Advantageous, for example, large-scale displays. After cleaning, a two-part tray can be folded down. The display is mechanically protected. The flat product can be used in dishwashing, disinfection or sterilization machines and forms suitable treatment rooms here. In these everyday products can be found in restaurants such. As dishes but also medical products in the hospital can be effectively cleaned. Such purified products are therefore hygienically safe and do not transmit diseases. The tray is used for. B. as a food tray in fast food restaurants or books and transmitted to the user information z. B. also from the Internet and entertains the user with games. It combines the transport of products and the communication requirements in modern societies with the advantage of being self-hygienic and, when used in cleaning machines, improving the cleaning efficiency in combination with ancillary equipment.

In a combined embodiment, the invention may additionally preferably incorporate interchangeable heating elements, light emitters or ultrasound generators into a machine in order to support the methods or to be able to validate them more product-specifically. Preferably, in an intermediate layer z. As light guides or layers may be inserted flat to z. B. UV light over the insert or insert the tray. An even, uniform irradiation increases the effectiveness of the UV radiation, for. B. kill bacteria.

Because the reprocessing of instruments and medical devices with cavities is difficult, tubing systems and coupling parts for minimally invasive instruments or catheters should be present at least on the insert or functional tray or be set up via ancillary equipment in order to carry out the cleaning. It may be advantageous if the insert or the functional tray has a fixed flushing distribution bar and cavity instruments can be connected thereto. This allows a pre-cleaning outside of a machine and in a machine a time-saving connection. It is furthermore essential to the invention that the insert at least influences the treatment process by targeted arrangement of the insert in a machine. Advantageously, the treatment space can be completely or partially reduced and / or subdivided by the insert. The arrangement of the cleaning product should in this case be such that no cleaning shade is formed or a backwashing of the products takes place. By an adapted arrangement, the cleaning power of the medium is supported so that it comes to jumping back (bouncing) and spraying of the medium on the support structures and optimum utilization of the cleaning power of the medium is achieved. The rebounding of solutions requires higher pressures above 0.5 bar. Here, at least in part, a process parameter changes. Preferably, the distribution of the cleaning solution in the treatment room changes by a plate-like application and influences the external cleaning of products that are in this treatment room. When using ultrasound, the spread and thus the ultrasound massage or the mechanical effect changes. For example, when the treatment space is reduced in the case of a direct supply of medium into this treatment space, the temperature distribution and the distribution of the medium can be improved and thus the cleaning efficiency can be increased. Higher medium content in the treatment room is favorable for the cleaning performance of the cleaning medium itself, especially when using chemical or enzymatic cleaners. When using transparent inserts can be caused by light chemical

Reactions are set in motion. The insert thus allows partially adjustable changes in the process conditions such as temperature distribution, ultrasound intensity, medium distribution, cleaning power and amount of treatment medium per product in the treatment room, without having to make changes to the machine. In addition, the use supports the combination or simultaneous use of procedures such as light or ultrasound treatment. In addition, rebound surfaces can be used in hydrogen peroxide sterilization in combination with a plasma treatment. When used by low-pressure plasma and an excitation, for example, via radio frequencies may alternatively be released from the Abpralloberfläche, which may be specially coated, free radicals. These can eliminate or kill germs, bacteria and other contaminants on spaced product surfaces. In the case of hydrogen peroxide gas, radicals are generated in the treatment room. The appropriate arrangement of the products to the injection source hereby supports the sterilization success.

According to the current state of the art and the use of basket inserts made of stainless steel, the cleaning power of the medium beam is reduced. Thus, an efficient and targeted backwashing of the products is not guaranteed. In the preferred method, medical devices with cavities, such. B. minimally invasive instruments (MIC instruments), connected in a suitable position on the inventive use of inlets and outlets for the treatment medium. Within the cavities, a turbulent flow must be generated to remove contaminants such as blood and protein residues, bacteria or prions or depleted. The generation of turbulent flows is dependent on the surface roughness, viscosity of the cleaning medium and specific design features. Here, the Reynolds number should be 2000 or greater. Preference is given to aqueous solutions with disinfectant onszusätze, such as alcoholic solutions. Also, media such as distilled or ionized water or cleaning, disinfecting or sterilizing solutions or in combination may be used. Important is the used water quality. Of particular importance is a suitable pre-cleaning with sufficient water pressure.

The planar wall structures of the invention also allow turbulent flows during external preparation and during processing. Important here, z. B. the pressure and flow rate of the cleaning medium in the process room. Turbulent flows can arise because the space between two inserts is narrowed so that the flowing medium, at least in parts of the space, changes into turbulent flows. These currents are also capable of contaminants such. As protein and blood residues, prions, bacteria, pathogens and production residues effectively remove or reduce.

The inventive method improves in advance the cleaning efficiency by the possibility of a simple pre-cleaning using water from the faucet with a rinsing pressure between 2 - 4 bar. This water pressure is necessary to eliminate unpleasant impurities in accessible places and cavities. Only the targeted treatment of the internal lumens with this pressure and with a suitable instrument-dependent flow enables an efficient detachment and removal or reduction of prions, bacteria and pathogens in hard to reach cavities.

In order to make cleaning easier by the method, in particular the treatment of products with cavities, suitable supply lines or devices for introducing the cleaning solution into the inner lumen of the instruments are required for this purpose. Due to the comprehensible positioning on the innovative use a reproducible and validable pre-cleaning and machine preparation is supported. The inventions tion offers the advantage of cleaning efficiency in products such as scissors z. B. to improve by a vertical position. Medical treatment processes are further supported by the fact that on the insert or functional tray transport safeguards for the products and information on reprocessing are possible. Certainly because no conversion of the products to other machine inserts or baskets is necessary and no conversion of the products during subsequent transport to the customer. According to the present inventive method and product arrangement, today's machine inserts (product cart, etc.) must be improved, especially in cavity instruments. Inventively preferred here is the parallel arrangement of inserts or functional trays and a direct sufficient and controllable pressure-controlled supply of cleaning media from above and / or from below which may preferably also be pulsatile. Furthermore, the inner lumen of the lumen instruments should be flushed from above directly with high pressure, preferably over 2 bar. Depending on instrument design, surfaces and degree of soiling, external cleaning may be sufficient for flush pressures greater than 1 bar. It is essential that the cleaning agent does not primarily determine the cleaning efficiency but rather physical parameters such as pressure, temperature or ultrasound strength of the cleaning medium and its distribution in the treatment room. The rebounding areas in particular support these physical parameters, the spread and the supply of the cleaning medium in inaccessible places.

Technically, outside of a machine, the invention in function of a tray preferably contain heating elements, light emitters or ultrasonic generators to z. B. Products on the tray thawed controlled or heated or even cleaned. In this alternative embodiment of the invention, in particular the inventive functional tray can be used for preparation, administration, monitoring and documentation in the field of medical treatments. For example, blood bags, nutrient solution bags or drugs are transported on the tray and securely positioned. By attaching the tray together with the bag or the therapy solution, the solution can flow to the patient. Possible sensor modules on the tablet or in the tablet register the temperature, the application time and the level control. The transmission of data thus allows external monitoring of the administration. Heating or cooling modules in the tray even allow a temperature control of a therapy. Alternatively, such temperature monitoring may ensure monitoring of the treatment and procedures and, in addition, improve traceability. Sensor modules that display humidity may additionally be preferred here. In a preferred medical treatment process, the used instruments are pretreated with water or cleaning solution after use. Cavity instruments are rinsed for at least 30 seconds at a water pressure of at least 2 bar. Alternatively, the lumen instruments may be filled with a supplied concentrated cleaning solution to test for permeability. The solution remains in the instrument until it is pretreated. In central sterilization, the instrument trays are controlled with the products and inserted vertically or obliquely into the machine. Alternatively, an ultrasound treatment can take place beforehand, wherein the front rebound surface of the instrument tray is aligned with the sound source and reduces the Beschallungsraum. In addition, the sonication and the pre-cleaning with high pressure of cavity instruments can be done simultaneously or alternately in the ultrasonic bath. The supply lines in the upper part of the instrument tray are connected to the machine. The machine is flushed from below and from above via the supply lines. Before the main cleaning, the lower part of the machine can be flooded and an ultrasonic cleaning is carried out. The main cleaning of the cavities takes place at temperature and cleaning solution with an internal cleaning pressure above 1 bar per instrument. Before completion of the cleaning, a single channel pressure measurement is performed for each instrument. In the case of non-cavity instruments, cleaning is carried out with preferably vertical positioning from above and below. Advantageously alternating. Depending on the program guide, the disinfection can then take place in the same machine or in another machine sterilization.

In another preferred medical procedure, a functional tray with electronic transponders is used to deliver instruments or other products to the patient. By means of a hardware device at the patient's bedside, all processes that are carried out with the functional tray are automatically documented. These include the following procedures: administration of medication and syringes, personal hygiene, presentation of food, surgery preparation, follow-up surgery, therapy monitoring, blood collection for laboratory examinations, doctor's visit and other procedures related to the tray. In this case, a patient-specific tray or a general tray can be used. In any case, there is a transfer of information to the patient bed or to a hardware device in the hospital room.

In a general embodiment, the materials of use have a simple chemical, physical surface modification or mechanically altered surface structuring. An advantage is a surface modification or coating by

Plasma treatments by DLC or similar methods and a chemical modification in combination with silver particles or titanium or metal oxides to release hydrogen peroxide or silver. Further advantages are that, as a result, the stability as well as the influence on the surface tension (for example the lotus effect produced by nanotechnology), hardness or roughness can be subsequently changed. The latter are an important criterion for being able to easily clean surfaces.

In order to facilitate the cleaning of the products for transportable use with simple means, the materials of which the insert is made must be selected so that on the one hand the usual cleaning agents or, on the other hand, ionized or distilled water can be used. Ionized water removes protein residues, but also harmful germs or prions.

By this invention z. B. The following procedure is supported: The possibly pre-cleaned instruments are customized on the reprocessing insert according to the invention custom. For the traceability of the preparation of a product on the insert visible product identifications are introduced or introduced. Preferably, an image of the instrument exists on the insert surface or in the insert to visually control the optimum cleaning position and proper secure position. Since the instruments machine-readable information with dimensions less than 5 mm ² , such. For example, if an identification hologram may contain, for example, the device identification number, manufacturer's name, processing cycle, and other information, the correct placement of the instruments should be maintained, especially in this case. This guarantees that this information is read out or read in securely. Simply this information and beyond, by introducing a flat universal memory chip z. B. be contained in the form of plastic chips.

Subsequently, the device-specific cleaning process with flushing of the cavities and, if necessary, an ultrasonic treatment. In order to assist the drying of the products, the cleaning medium should drain by gravity and the residues should then be removed by blowing out. Thereafter, the device receives a

Protective packaging made of plastic. Alternatively, drapes may additionally be introduced. Position holders for these wipes ensure the preservation of the sterility of the products in the operating room after removal of the protective structure. Alternatively, surface irradiated UV light could improve the sterility of the products on the insert. Without repacking the products, the sterilization takes place with subsequent transport to the customer. Due to the fact that the application contains extensive information, the legally required traceability is guaranteed. In the operating room, surgical instruments are removed from the sterile packaging or transport box and spread directly on the instrument table. The instruments are preferably on the insert until they are needed. There is also the possibility of using a specially designed instrument table to identify and document the sterile instruments or alternatively to create an electronic instrument protocol. After the operation, the used instruments are partially pre-cleaned and then positioned and fixed on the insert again. The return transport takes place on the same application as well as in combination with a stable transport container or packaging. If the insert is designed as a disposable product, it will be disposed of after return transport and replaced by a new one.

In summary, the invention makes it possible with simple means to comply with international quality requirements in the purification of products. At the same time, the invention supports device-specific qualitative processing and processes with all the requirements of traceability. In addition, the use of a product damage is avoided and a re-sorting of the products is eliminated.

In addition, the invention improves the economics and safety of medical device reconditioning and product cleaning in general. Notes on the

Use not only support the handling but form an advertising and information surface. The use of transparent materials allows control even after sterilization.

Further advantages result from the efficient use of the cleaning media, the possibility of rationalizing the processes and the economical use of the materials used, as well as from the description and the attached drawing.

It is understood that the features mentioned above and those yet to be explained can be used not only in the particular combination indicated, but also in other combinations or alone, without departing from the scope of the present invention.

Embodiments of the invention are illustrated in the drawing and are explained in more detail in the following description. Show it: Fig. 1 Detailed sectional view of the invention outside and within a

Machine having a process-supporting structure in connection with an information structure and optionally with a protective structure in a processing cycle.

Fig. 2a. Detailed sectional view of the invention in one of the pre-cleaning with

Water from the tap.

Fig. 2b. A detailed sectional view of a possible support structure consisting of two layers and an information structure as an intermediate layer.

Fig. 3. A detailed sectional view of the invention in a procedure with a fixed instrument, which forms or delimits a treatment room with another wall.

Fig. 4. An embodiment of the invention as a hinged machine insert or

Function tray in the folded (side view) and unfolded state (top view).

Fig. 5a. A simple embodiment of the invention as a handy instrument tray with resting fixed minimally invasive instruments.

Fig. 5b. A detailed enlarged sectional view of a support structure in combination with a permeable wall.

Fig. 6. A detailed sectional view of the invention in a method step in a machine in a cylindrical embodiment.

Fig. 7a. A detailed sectional view of the invention in combination with an embodiment of a part of the support structure in combination with an integrated

I nformation structure.

Fig. 7b. A detailed sectional view of the invention in combination of a holder made of wire and an integrated information structure.

Fig. 8a. A detailed sectional view of the invention with a replaceable

Clamp bracket made of wire. Fig. 8b. A detailed sectional view of the invention with a replaceable

Plug-in holder made of wire in combination with a protective device.

Fig. 8c. A detailed sectional view of the invention with a replaceable

Plug-in holder made of wire in combination with an arrangement of an integrated information structure on a support structure.

Fig. 9a. A detailed sectional view of a product holder in connection with a distribution strip for flushing through cavity instruments.

Fig. 9b. A detailed sectional view of a clamp holder with a flush bar for flushing through cavity instruments.

Fig. 10 is a detailed sectional side view of the invention as instruments or functional tray with flush bar in combination with a removable stable molded stable lid to form a transport box.

Fig. 11 top view of an embodiment as a functional tablet with integrated

Sensors and sliding supports for clinical applications.

Fig. 12 Top view of a functional tablet with large-scale displays and controls as electronic communication platform, electronic book or notepad.

Fig. 13 Results of interior cleaning tests of heavily contaminated cavity instruments with tap water at 2 and 4 bar without the use of cleaning agents via a flush bar.

Fig. 14 External cleaning in the joint area of scissors with and without rebound surfaces with tap water at a pressure of over 1 bar.

In FIG. 1, FIG. 10 generally shows a detailed sectional view of the invention outside and inside a machine with a process-supporting structure in connection with an information structure and optionally with a protective structure in a collecting system. reitungskreislauf. In Fig. 10, A, B and C show a sequence of possible stations in a rendering process. At station A, an instrument 6 in combination with holder 5 is fixed to the carrier. This is followed by station B, where the insert is combined with an additional support structure 7 and placed in a machine and treated. At station C, the easily transportable insert is formed with a protective structure 8 into a transport packaging and transported to the place of use. The reusable insert again participates in the phase A, B and C preparation process.

In part A, the insert carries a medical device 6, which is fixed by product holder 5. The product holder 5 is firmly connected to the support structure 1. The inventive insert here has a support structure 1 in the form of a plate and forms together with the information structure 2 the use. To protect against solutions here, the information structure z. B. embedded in plastic or coated. For example, the information structure 2 consists of a film or ink layer on which an additional protective layer 4 or a nanoparticle structure can alternatively be applied. The surface 3 of the support structure 1 is smooth or structured and is easy to clean. The surface 4 of the information structure 2 can also be smooth or structured. According to the invention, the surfaces 3 form the front side and 4 the rear rebound surface for media. The process-supporting structure is formed in this embodiment of the information structure 2 and the support structure 1. In the following Part B, the insert is brought together with an additional support structure 7, which is designed here as a metal grid. The device here represents a stabilized treatment insert in a machine. The lattice structure 7 is designed so that the inventive insert can be attached thereto. The instrument 6 is securely arranged with suitable brackets 5 and can be used in a machine z. B. Reinigunsautomat be placed. The support structure 1 is transparent, as a result of which the underlying information structure 2 with the visual information contained therein is easy to read. After treatment steps, which may include, for example, cleaning, disinfecting and sterilizing, the part C follows, in which the insert is brought together with a protective structure 8. The insert is thus formed into a transport packaging. For example, the protective structure 8 is applied by a positive fit by vacuum. The insert thus receives a secure packaging and protects the medical device 6 on holders 5. An adhesive 9 with the protective structure 8 at the ends of the support structure 1 provides for a sterile barrier. The protective structure 8 is transparent and allows reading of the information from the information structure 2 from above. In this embodiment, additional and subsequent information, for example, can easily be obtained. B. in the form of labels from below on the information structure 2 are attached. The introduction of Information or a coding or data feed can also be done automatically by a machine. Alternatively, the protective structure 8 can enclose the entire insert.

In Fig. 2a. Fig. 20 shows a detailed sectional view of the invention in one of the pre-cleaning with water from the faucet. A product 6 z. B. a MIC instrument is rinsed with demineralized water or tap water. In this case, the cleaning medium can be supplied from below or above. The insert consisting of a support structure 1 and an internal information structure 2 is formed as a plate or surface. For protection borders on the information surface 2, a protective structure 11 which may also be part of the support structure 1. The surface 3 serves as a rebound surface for the medium. The flushing medium A from the faucet 12 is injected with, for example, a pressure higher than 2 bar to the product. A shows the medium flow and direction. Due to the planar carrier structure 1, a partially turbulent flow (small arrows) is generated only in certain areas. Particularly effective is a backwashing of the instrument 6 in the immediate vicinity of the front Abpralloberfläche 3. Here, by throwing back the cleaning medium (arrows A) improves the cleaning effect in the cleaning shadow. Another advantage is that no cleaning medium drains to the rear, but can be specifically introduced into a pool. The instrument 6 is thus cleaned from all sides and lies in a holder 5. With B, a fine medium jet is shown, with the targeted cleaning medium can be flowed into the cavities of the instrument. This pre-cleaning is most effective immediately after use and improves the degree of conditioning as the blood remains dry. The oblique arrangement shown here can alternatively also be an arrangement of the tray or insert in a cleaning machine. In this case, the cleaning solution could also be supplied from the bottom.

In Fig. 2b. shows a detailed sectional view of a possible support structure consisting of two layers and an information structure. The method-supporting structure is formed in this embodiment of a support structure 1 as a cover layer with an integrated information structure 2 and an additional sub-layer or structure 11. The support structure here this total of an overlying cover layer 1 z. B. from PPSU and an underlying information layer 2 and from a further layer 11 of z. B. PPSU. For example, both layers 1 and 11 are glued together and protect the information structure or layer 2 enclosed therebetween. In this embodiment, sensitive information carriers in this layer 2, e.g. B. consisting of a polymer chip, glass fibers or conductive particle layers, be embedded. The layers 1 and 11 are non-conductive and preferably transparent. They make possible a support structure which, when used in the operating room, enables visualization of the instruments as well as generation of UV light. The layer 2 radiates z. B. UV light surface. This results in a sustainable sterilization of the surfaces as well as the instruments.

FIG. 3 shows a detailed sectional view of the invention in a method sequence with a fixed instrument which forms or delimits a treatment space with another wall. The treatment space 14 is formed by an insert with a structure 1 (support structure) and 2 (information structure) and wall 13 spaced therefrom is limited. This wall may alternatively be the back wall of another insert 1 or 11 or the limiting chamber wall 13 of the machine. In the middle, an instrument 6 is arranged vertically and fixed by suitable instrument holder 5. The fixation must be such that the instrument 6 is not damaged or torn out during treatment. The arrows denoted by the letters A and B represent medium flows. A is defined here as the main medium flow. This is after he meets with high pressure on the instrument 6 and the front baffles 3 and rear rebound surface 4, swirled and divided into smaller spray fountains and turbulent flows B. One speaks of turbulence or turbulent flow insofar as sufficient medium flows in with high pressure. The spaced surfaces 3 and 4 are formed by the walls 1 and 13 alternatively by 1 or 11. It may be machine, constructive or procedural advantage that the opposite rear rebound surface 4 is also represented by the front of an insert 3. In this alternative arrangement more instruments can be introduced in the treatment room. The missions should be close to each other to allow the necessary Reyoldoldzahlen and turbulent flows to produce. In this arrangement, it is also possible to clean the rearmost corners of the instrument and to avoid mud shadow. The cleaning power of the main medium jet is assisted by diverting the medium flows from the surfaces 3 and 4 without overly reducing the flow velocity. Is the insert completely in one?

Water bath so the sound waves will reflect on the rebound surfaces and bounce off and lead to an improvement of the cleaning. Advantageous in this case are flat preferably smooth surfaces 3 and 4 which do not pass through the spray medium B. In this embodiment, the amount of necessary cleaning medium is reduced by the limiting treatment cavities 14. A validation of the treatment chamber 14 is possible if the distance of the wall of the insert 1 from the opposite wall z. B. 13 adjustable bar is. A large uniform treatment space given by the machine manufacturer is thus subdivided in whole or in part. Due to the distance and the positioning of the instrument 6 in the adjusted treatment chamber 14 only a customized product cleaning is possible. Such adjustments change the treatment conditions and support the cleaning efficiency and economy.

In Fig. 4. 40 shows an embodiment of the invention as a folding machine insert or functional tray in the folded (side view) and unfolded state (top view). The spaced support structures 1 have spacers 21 and form a total of the processing insert 40. By bending the lateral parts of the support structure 1 may alternatively be formed spacer structures. The interior of the folded insert A allows a treatment room 14 z. B. outside of a machine. At the rear connecting element 19 there are two holes 17 with which the device can be carried or pulled out of a box. On the connection element is located information structures 2 in the form of an information field 15 for introducing information such as advertising, handling information or security instructions and two further fields 16 for product identification. These fields 15 and 16 can z. B. electronic labels and information such as manufacturer identification, reprocessing information or batch information included. Alternatively, information on these fields 15 and 16 can be read in and out. In this folded form A, the internal products can be safely transported.

In the unfolded state B, the instruments 6 are clearly visible on the carrier surfaces 3 of the insert 40. These are held securely by adapted product holder 5 and are positioned so that in the oblique or vertical position, the treatment medium can flow well. At the end, the position holders 21 are located here. The positioning of these instruments 6 can be improved by pictorial structures on these surfaces. Alternatively, a hologram may be applied at the location of an image. This in turn can be read out or read. In the middle is a connecting element

19 with continuous hinging 18, which connects the two-sided support structures 1 with each other. To additionally protect the instruments 6, an additional drape can be attached. By folding and in conjunction with a z. B. transparent box as outer packaging a secure transport packaging is formed. In this form, the instruments 6 in the interior of the insert and the information containing can be read. In Fig. 5a. Figure 50 shows a simple transportable embodiment of the invention as a handy instrument tray with resting fixed minimally invasive instruments. The instruments 6 are located on special holders 5, which are mounted on a flat support plate 1. Alternatively, the brackets 5 may be connected to an overlying stainless steel mesh to improve stability. The insert is preferably introduced vertically in a washer-disinfector. All instruments 6 or parts with hollow spaces are arranged obliquely to allow drainage of the cleaning medium. Alternatively, the instruments 6 z. B. also be fixed vertically on the insert. Interchangeable fixing surfaces 24, for example hook-and-loop fasteners, for better positioning of one or more covering materials, such as, for example, are located on the sides of the support structure 1. B. drapes. Such drapes are commonly used in surgical applications. The surface 3 represents a rebound surface. Embedded in the support structure 1 or on the surface are information structures 2 such. B. a product identification field 23 and machine-readable bar codes 22 for traceability. Fields 23 or 22 could also be a plastic chip or electronic label. The latter modules allow the provision of larger amounts of information than barcodes or can generate data themselves. Alternatively, the entire support surface 3 can be used to apply information. The handles 25 on the support structure 1 facilitate the handling of the insert 50.

FIGS. 5 b. shows an enlarged detailed sectional view of a support structure in combination with a permeable wall. Here, the inventive embodiment consists of a support structure 1 and 11 has above and below small hole structures or structured accordingly. It is advantageous if no medium can penetrate through the structuring and surface tension of the selected pore structure of structure 1 or 11. Between this stabilizing preferably flat design, there is a for z. As hydrogen peroxide, water vapor or ETO permeable layer or film 65. The permeability is shown in the form of arrows A. The introduced film 65 may consist of Tyvek (1073B Tyvek) steam permeable film, Teflon film or other permeable material. Preferably, this film 65 can also be inserted separately in the insert. If the support structures 1 and 11 are made of plastic, then this intermediate layer in the form of a film 65 can serve as carrier of an information structure 2 or contain it.

Fig. 6 shows in Fig. 60 a detailed sectional view of the invention in a method step in a machine in a cylindrical embodiment. In this further version Form of the invention is shown a preferably cylindrical insert 60 for cavity instruments. The transportable insert is supplied via a supply line 32 with cleaning medium A. For uniform distribution of the medium (arrow A), a medium distributor 31 is placed in a sealing manner over the cylinder. For example, cavity instruments 6 are located inside the cylinder with the delimiting walls 1. Via the media distributor 31, the cleaning medium A is introduced uniformly into the cylinder space 29 above the cylinders. The medium flow treatment rooms 14 are designed so that the outer instrument surfaces can be flowed around well. Due to the close parallel arrangement of the instruments, the instrument surfaces or cavity products themselves form rebound surfaces 69 and limit the treatment spaces 14 thus formed. The inner wall of the cylinder also constitutes a suitable rebound surface 69. With appropriate pressure and medium flow, turbulent flows are created with arrows B are designated. In this embodiment, the instruments 6 evenly over at least one retaining ring 28, the z. B. can be provided with hole structures, posi- tioned. Alternatively it can be provided that the retaining ring 28 is a sealing ring to direct the cleaning medium exclusively through the inner lumen of the products 6. On the outer surface 4 of the cylindrical insert 60, which in turn can form a rebound surface, information or a planar information structure 2 can be easily attached. This embodiment 60 is also particularly suitable for the fast pre-cleaning process without the use of a machine. This is advantageously carried out with aqueous solutions from the faucet at a flushing pressure of greater than 2 bar. After cleaning, these cylindrical containers can be easily closed with a protective cap and can be sterilized. These in turn are suitable for safe transport to the customer. Alternatively, instead of a cylindrical shape, a square or rectangular cross-sectional shape can also be selected. The latter forms may be preferred in terms of machine technology.

Fig. 7a. shows a detailed sectional view of the invention in combination of a molding of a part of the support structure in combination with an integrated information structure. The invention here has a structure 1, an information structure 2 and, for example, a further structure 11. It can be provided that the first layer is formed as a cover or support structure 1 and consists of a moldable plastic. It can be provided that holders 33 are produced from the structure 1 by changing the shape (eg by deep drawing) of the material. Here, it may be essential that the thickness of the structure 1 is matched to the selected deep drawing process and therefore requires additional stabilization. The latter may alternatively be provided that the molded Structure 1 is interchangeable and z. B. made of elastic material such as silicone. Attached to this is an information structure 2 and attached thereto again another structure or layer 11, which may increase the stabilization of the overall structure or be formed as a pure protective layer. The information structure 2 itself may be a layer, film or particle plane or may be formed of optical fibers or electronic modules or components. For example, 2 may also be only one color pigment layer which has been applied to the lower structure 11 by means of a plotter. Corresponding embodiments of the layer 2 could z. B. radiate UV light area. To ensure the connection of the materials with each other, it is advantageous if the structure 11 z. B. from the same material as the structure 1 consists. If the structure has a suitable stability, the structure 2 may also be protected only in the form of a thin sheet-like cover or layer 11. The surfaces 3 and 4 of such an insert or functional tray form suitable baffles for media. It is advantageous if the entire structure is transparent.

Fig. 7b. shows a detailed sectional view of the invention in combination of a holder made of wire and an integrated information structure. The illustrated bracket 34 is z. B. from bent stainless steel wire. The components of the structure 1, 2 and 11 were z. B. connected by gluing together. To protect the edge areas, it can be provided that this by a circumferential protective cover made of silicone or

Stainless steel is attached. It is essential that no aqueous solution gets between the layers. In addition, the baffles 3 and 4 should be well accessible for cleaning media despite the brackets and prevent cleaning shadows. Arrow A illustrates the reflection of ultrasound. By juxtaposing rebound surfaces (3 or 4) and forming a changeable treatment space, the ultrasonic waves in the treatment room also reach the product areas directly above the rebound area. Cleaning shadows are prevented and the ultrasonic power is optimally utilized. The position of the product to be cleaned must be adjusted to the process. Arrow B shows a deflection or bounce off of a dissolution medium. In this case, the spray effect depends on the pressure with which the solution hits the rebound surface. The solution is fluidized due to the friction on the surface and backwashes a product surface which is located at a short distance from this rebound surface.

Fig. 8a. shows a detailed sectional view of the invention with a replaceable wire clamp. The holder 34 here consists of a bent wire, which is connected by clamping with the structure 1, 2 and 11. The lower wire part 35 presses the holder against the plate and is secured against slipping in the manner that this terminal is bent and locked into a recess. Alternatively, the wire part 35 may extend over the entire length of the device and connect other support structures or be formed as a clamping foot. The flat structure is inserted from the side. It is essential that the holder 34 is interchangeable. Alternatively, the entire holder 34 may have a silicone sheath for protecting the instruments and the plastic carrier. Advantage of a silicone coating z. B. with a silicone hose is also that the holder does not slip and damage the plastic. The elasticity of the support structure 34 of wire improves the fixation of the products via a clamp.

Fig. 8b. shows a detailed sectional view of the invention with a replaceable plug-in holder made of wire in combination with a protective device. The bracket 34 is for stabilization with a T-connection 36 with z. B terminal pins which snaps into holes provided 37. The T-connection prevents twisting of the holder 34 and stabilizes at the same time. To prevent the penetration of cleaning medium during cleaning can be provided that laterally to protect from z. B. silicone molded protective elements 38 are attached. By secured with protective caps 39 further holes, which are attached to the longitudinal side of the device, the holder 34 can be individually offset. This structure allows an optimal position for the products to be treated. Alternatively, these holes can also be provided for receiving easily removable securing bracket.

Fig. 8c. shows a detailed sectional view of the invention with an exchangeable plug-in holder made of wire in combination with an arrangement of an integrated information structure on a support structure. The wire holder 34 z. B. stainless steel, which may also be coated with silicone, here is laterally connected via a pin connection 41 with the device. In order to prevent the penetration of solution, a sealing element 42 surrounds the front part of the pin. Due to the elasticity of the holder 34, this can be easily removed. The surface of the holder 34 is minimized so that solutions can flow around the holder well. The structure of the support structure here consists of a thin cover structure 1, in which an information structure 2 is embedded. This cover structure 1 is firmly connected to a stabilizing structure 11. In particular, this structure is suitable for surface bonding and securely encloses the internal structure 2. Overall, the arrangement of the structures 1, 2, 11 forms one of the possible structures of the inventive process structure. Alternatively, the pin connection 41 can also fix the wire holder 34 from above via a hole in the carrier structure (1, 11) with a screw connection. Fig. 9a. shows a detailed sectional view of a product holder in conjunction with a distribution bar for flushing through cavity instruments. In this further embodiment, a flushing strip 46 is applied in detail with a sealing insert 45 for cavity instruments. The holder 34 is firmly connected to the flush bar 46. The connection piece to the inner lumen of the instrument (eg Lyer Look connection) is pressed through the sealing insert 45. The preferably replaceable sealing ring 45 made of silicone is connected directly to the purge bar 46. The dimensions of the inner lumen of the flush bar 46 is in this case dimensioned so that some cavity instruments can be cleaned in parallel without significant pressure loss. In this embodiment of the invention, the structure 1 is made stable and thus forms the actual support structure. According to the invention, a thin information layer 2 adjoins it and for protection a cover layer 43 is deposited. In this embodiment, the purge bar 46 is individually staggered and interchangeable.

Fig. 9b. shows a detailed sectional view of a clamp holder with a flush bar for flushing through cavity instruments. In this further embodiment, the flush bar 46 is located under the device. The sealing insert 44 is connected across the structure 1 with a rinse strip 46 and interchangeable. The sealing insert is designed so that a Lyer Look connection of cavity instruments can be introduced here. The holder 34 has a clamp foot 35 made of wire or as a silicone foot to prevent slipping. The clamp bracket 34 is designed to firmly push the instruments into the seal 44 of the sink insert and to be easily removed. On the support structure 1, a planar transponder chip 2 (information structure) is glued as a label to the support structure 1. The transponder chip can be combined with temperature sensors or pressure sensors. The replaceable components of the device allow for reuse and quick retrofitting.

In Fig. 10 shows a detailed sectional view in side view of the invention as instruments or functional tray with flush bar in combination with a removable stable molded stable lid to form a transport box. In this embodiment, the support structure 1 of the instrument tray with a dimensionally stable cover or lid 47 forms a transport box 70. In this box 70, an MIC instrument 6 is connected via a Lyer Loock connection with a flushing sleeve 45 and stored securely in further holders 34. The formations of the lid 47 are adapted to the instrument shape and prevent falling out of the instruments 6 from the holders 34. In addition, the instruments on the tray can be secured by a simple rubber band or tape from falling out, which is advantageous when the lid in the operating room is opened. The lid 47 is secured, for example via clamping strap 49 on the instrument tray with the structure 1 on. A circumferential seal 48 secures the transport box thus formed from moisture and germs. Further, located on the lid 47 is a continuous interchangeable filter for gas gases filter module 66. Via this module, a steam sterilization 5 is ensured.

Fig. 11 shows a top view of an embodiment as a functional tablet with integrated sensors and slidable holders for clinical applications. In this embodiment 80, the tray has a slightly raised border 53. This border 0 can be formed by reshaping the edges. The side elevations 53 are designed so that brackets 51 and 52 can be attached here. These are z. B. displaceable. On this functional tray are located on or embedded electronic sensor surfaces 55 and 54. With the sensor surface 55, the tray 80 can determine the temperature of, for example, a blood bag stored here. If there are hoses on the blood bag, they can be arranged individually by the holder 52, which is designed as a tube holder. In order to secure the bag from falling out, the functional tray allows a sliding clamp 67 to be attached. Alternatively, instead of one or more clamps, a transparent, slightly flexible plate held by the border of the tray may also be attached. The blood bag is pressed on the o-surface pad and secured. To further secure the bag can be hung in brackets or brackets 51. In this securing position, the functional tray 80 can be suspended vertically. The blood contained here flows out of the bag by gravity. Via a sensor element 54, the critical level in particular can be measured. Due to the design of the tray can continue to be an information surface 5 56 on the tray. This surface 56 may also occupy the entire tray surface in another embodiment. If such a surface is designed as a touch screen, the user can enter data from here and document the start of the therapy or other documentation functions are supported. For the energy supply, rechargeable foil batteries can be contained in the information structure and o information about a room receiver can be sent via a transponder. Due to the fact that the functional tray 80 may be contaminated with blood, etc. or may be occupied by hospital germs, the tray is reprocessed according to the inventive method following the therapy. The surface 3 in this case forms the front bounce surface or structure. The temperature unit guarantees continuous and complete monitoring of the treatment steps 5, thus enabling traceability and validation of both the application and the cleaning process with the benefit of safe and efficient cleaning. Alternatively, electronic parts such. B. 56 be exchangeable and exist as a chip card or label with high memory performance. Alternatively, the electronic components in a z. B. Adsorptionsfolie 71 and occupy the entire surface of the tablet. This film 71 can be removed before processing or used by the user according to the specific application. In a conditioning process, such a film 71 could form the rebound surface and the rebound creep z. B. influence by elastic properties and consist of a germicidal material. Instrument holders may also be mounted on the functional tray 80 for use in a dishwasher for cleaning and disinfecting instruments. In this case, the functional tray 80 is used as an instrument tray. It goes without saying that, alternatively, no border 56 must exist. The products can also be secured by clamping structures as described in FIG. 9.

12 shows a top view of a functional tablet with large-area displays and operating elements as electronic communication platform, electronic book or notebook. In this case, the functional tray 90 preferably consists of two larger parts, which are firmly connected to one another by means of a hinge-like connecting element 18. Each of these parts consists of a large display 57 or touch screen or alternatively a surface of an electronic memory. This display 57 simultaneously forms a suitable baffle 3 when the tray is placed in a dishwasher for cleaning. Alternatively, the surface 57 can also be designed as a touch screen. For cleaning reasons, the functional tray 90 must be constructed so that no liquid can penetrate into the information structure 2. Alternatively, the tablet can also be constructed only from a large display. In order to be able to transport products such as plates, cups, etc. with this functional tray, a fold or border 53 is provided in this exemplary embodiment. In particular, parts of the skirt 53 could run in a rail and be movable, which improves later stabilization of both tray parts. Through the hinges 18, the tray 90 can be closed. Advantageously, it can be unfolded engage so that a collapse during transport is prevented. In the folded state, a closure 64 secures the unwanted unfold. An opposite pin 68 snaps in here. In the folded state, 53 control pins or other flat parts can be transported inside the border. This functional tray 90 may, for. B. be used as an electronic book or as a notepad. By introducing electronic components into the information structure (battery, interfaces, etc.) information can be transmitted online via a server or PC. To individually retrieve and view the data, the tablet has an operator bar or area 62 with function keys or elements 58, 59, 61 and 63. In particular, an overview strip 58 is provided, which is designed as a touch screen. Here you can track or change the entered page numbers, or the loading capacity of the module and the current page position. Scroll buttons 63 on the left and right allow you to page forward or backward individually. With the keyboard 61, the tray off and turn on and z. B. with another function key 59 perform other functions (eg., Confirm). For a longer energy supply, parts of the surfaces may be provided with solar cells.

FIG. 13 shows results of internal cleaning tests of heavily soiled cavity instruments with tap water at 2 and 4 bar without the use of cleaning agent via a flushing strip. As a method of investigation, the radionucleotide method was chosen because it is currently the most sensitive method and in particular makes fibrin residues visible in cavities. Sheep blood labeled with Tecnetium was heavily contaminated cavity instruments (MIC instruments) of various types and then flushed through a flushing bar with water from the water pipe. An impressive removal of blood components at flush pressures of 2 bar was impressively demonstrated after just 15 seconds. With higher pressures, additional improvements are achieved. By this type of pre-cleaning a high degree of cleaning is achieved reproducibly after 90 sec. This cleaning efficiency of instruments with cavities is currently not even achievable with the cleaning machines in combination with cleaning agents. Efficient pre-cleaning is a prerequisite for efficient machine cleaning. It is important that the flow and pressure of the treatment medium is measured by each instrument.

Fig. 14. Shows an external cleaning in the joint area of scissors with and without rebound surfaces with tap water at a pressure of about 1 bar. Different surgical scissors in the joint area were heavily contaminated with Tecnetium-labeled sheep blood and subsequently examined by the radinucleotide method. In this case, cleaning medium was injected from the faucet defined without temperature increase in the treatment room of a simple cleaning machine. In the first series of experiments A, no additional baffles were positioned in the immediate vicinity of the instruments. In series B and C, on the other hand, the treatment room is reduced by rebounding surfaces. By reducing the treatment space, more water is injected per volume of space, and the medium jet bounces on the rebound surfaces and back on the scissors. In series A, only the almost perpendicularly incident media jets flush the scissors. Despite the vertical positioning of all instruments, it can be seen that in close proximity the most effective pre-cleaning in the joint area. The cleaning result is strongly dependent on the instrument design and is insufficient as shown here.

Application Example 1 A frozen blood bag is placed on a functional tray 80. A transponder is used to exchange data for identification purposes. Alternatively, the attending physician can read in the patient data via a secure separate memory card to be inserted into the functional tray. After fixation of the blood bank bag on the functional tray in provided holders, it is thawed on the inventive functional tray 80. The integrated temperature sensor stores temperature data in an electronic chip. A transponder queries the current temperatures and creates a time course. For data backup at the same time a data documentation via the inserted memory card. After defrosting, the functional tray is suspended vertically and the tubing is positioned in special holders. By gravity, the solution runs to the patient. In addition, a level sensor analyzes the critical level range. A signal across the room notifies the attending physician if the filling level is too low. Following treatment, the functional tray is provided with additional instrument holders and can be equipped with instruments. Alternatively, the tray may be placed in a validated position in a cleaning machine to aid cleaning performance. With flush pressures of over 0.5 bar, the instruments are cleaned on the holder and then sterilized without leaving the tray. In order to document the preparation and the subsequent application, all temperature data are recorded and preferably the critical temperature above or below the limit is displayed.

Application Example 2

On a transportable insert 10 or 20, a machine insert in the form of an instrument tray in the form of a sterile box 70 is transported into the OP. Here the sturdy lid is opened shortly before the operation and the parts (mic instruments) on the instrument tray become accessible. A receiver near the instrument table exchanges the instrument and editing data. An external additional power supply illuminates the area of the instrument panel or, alternatively, over the instrument table from below. Despite the darkened operating room, the attending physician can make the removal safe. Before the pre-treatment, the Lyer Look connections of the MIC instruments are inserted into the existing rinsing sleeves. Picture representation in original illustrations ensure correct positioning. The rinse strip is connected to the faucet via a quick coupling and rinsed for approx. 2 minutes at a rinsing pressure of 2 - 4 bar. After this treatment, the instrument tray is closed with the lid and transported to the central sterilization. Here, the situation externally controlled and the protection of the instruments. To assist handling information is available to the conditioner, which is transmitted by recognizing the instruments on the tablet. Furthermore, the conditioner can see if a pre-cleaning has been performed. Thereafter, the tray is inserted as an insert in a cleaning machine. The machine recognizes the inserted instruments and checks to what extent the machine load is correct. A fasch introduced instrument tray is immediately recognized and indicated. If the error is eliminated, the machine cleaning is carried out. Without taking the instruments of machine use, the insert is provided with a lid and transferred to the sterilization. Also in this step, an automatic product recognition takes place. In addition, preparation data is transferred to the insert.

After this process, the return transport to the OR takes place. All completed stations are also documented. Through a time and possible temperature history, the entire process can be checked. In particular, increases in effectiveness can be well documented and presented in this process.

Claims

1.Transportable use for product preparation and beyond, which can be used in particular in dishwashers, cleaning, disinfection and sterilization machines and whose process-supporting structure has at least one rebound surface (3) or spatial rebound structures (69) for media around a treatment room (14 ) or to create an area for product treatment

characterized,

that at least one insert with a front impact surface (3) can be changed to limit the treatment room (14) in a machine or with a second spaced insert with the front impact surface (3) or rear impact surface (4) or the insert itself with spatial internal impact structures (69 ) and rebound structures (3) forms a changeable treatment room (14) and supports the treatment of the products introduced here by rebounding and deflecting medium and allows at least one front rebound surface (3) for media outside of a machine.

2. Transportable use according to claim 1, characterized in that the process-supporting structure of an information structure (2) and a support structure (1) and / or a support structure (11) with or without brackets is constructed and this structure method, for example processing methods but also processes and presentations supported and with a protective structure (8) enables versatile packaging.

3. Transportable use according to claim 1 and 2, characterized in that the process-supporting and the protective structure consists entirely or partially of a stable, preferably at least partially transparent material or a combination of materials, which consists of the group of plastics, dyes,

Phosphors, natural substances or the amorphous substances, such as. B. glass is selected.

4. Transportable use according to claim 1 and 2, characterized in that the process-supporting and the protective structure consists wholly or partly of a resistant, preferably opaque material or a material combination consisting of the group of metals, ceramics, dyes, phosphors, natural substances, Paper or plastics is selected.

5. Transportable use according to claim 1 and 2, characterized in that the process-supporting structure and / or the protective structure consists of a combination of durable opaque and at least partially transparent materials.

6. Transportable use according to one of claims 1 to 5, characterized in that the support structure (1) and / or the support structure (11) or that of the information structure (2) or parts of these structures have a suitable rebound surface or spatial rebound structure with or without superficial structures or shapes.

7. Transportable use according to one of claims 1 to 6, characterized in that the protective structure (8) and at least parts of the support structure or the information structure are interchangeable or changeable, for example, moldable.

8. Transportable use according to one of claims 1 to 7, characterized in that the support structure has holders (5, 28, 33, 34, 51, 52, 67) of any type and shape and with or without additional elements (35, 36, 38 , 41, 42, 44, 45, 46) can be equipped and have an integrated and / or a superficial information structure (2).

9. Transportable use according to one of claims 1 to 8, characterized in that the brackets (5, 28, 34, 33, 51, 52) are interchangeable, for example as clamping brackets and individually positionable and the preparation and

Support the presentation of the products by the fact that the holders for products provide a small contact area and can be washed around and can be adapted to the processes.

10. Portable use according to one of claims 1 to 9, characterized in that the product holders (33) are at least partially produced by deforming the support structure (1) or the support structure (11) and in which at least this part of the support structure is interchangeable for example, can also be elastic and / or additionally enables the support structure to be stabilized.

11. Transportable use according to one of claims 1 to 10, characterized in that the information structure (2) is visible, for example transparent information or representations for the optimal product arrangement and / or electronic modules, components and memories for providing and / or for creating information owns and is protected from aqueous media.

12. Transportable use according to one of claims 1 to 11, characterized in that suitable areas or areas for a visible traceable product arrangement with preferably quality, product and process information and / or representations such. B. in the form of security labels, holograms,

Barcodes or product images or as electronic labels are available.

13. Transportable use according to one of claims 1 to 12, characterized in that the product detection via the information structure (2) by fluorescent or luminous layers, by embedded light guides or by displays electronically or simply by lighting from below with tools.

14. Transportable insert according to one of claims 1 to 13, characterized in that the insert or at least parts of the insert has a suitable shape, shape stability, size and weight which is at least matched to the method and the transport.

15. Transportable insert according to one of claims 1 to 14, characterized in that the shape of the insert or parts of the insert have a rectangular, square, semicircular or round surface, box, basket or cylinder.

16. Transportable insert according to one of claims 1 to 15, characterized in that the insert or one of the structures preferably has a flat or, for example, a cylindrical shape with inner and outer rebound surfaces for cleaning media.

17. Transportable insert according to one of claims 1 to 16, characterized in that the insert has the shape of a plate and one of the structures (1, 2, 8, 11) has the shape of a film, membrane or thin layer and with a grid - Or wire structure can be combined.

18. Transportable use according to one of claims 1 to 17, characterized in that the protective structure (8) or at least part of the protective structure or the support structure or an additional layer (65) consists of gas or water vapor permeable materials.

19. Portable insert according to one of claims 1 to 18, characterized in that the insert as a handy instrument tray has flat or with edges, preferably foldable or foldable structures and enables simple product removal and contains at least one connecting element (18, 19) for this purpose.

20. Transportable insert according to one of claims 1 to 19, characterized in that the protective structure (8) for example as a stable pre-shaped cover which offers the products an additional hold or is subsequently formed into any or product-adapted shape in connection with the insert and light is to be removed again.

21. Transportable use according to one of claims 1 to 20, characterized in that a transport, storage or protective packaging is made possible in combination with a film, lid, box or protective cap.

22. Transportable insert according to one of claims 1 to 21, characterized in that the protective structure (8) and / or at least part of the insert is designed as a disposable structure.

23. Transportable insert according to one of claims 1 to 22, characterized in that the insert does not require additional support structures and itself forms a sterile barrier and at least with part of the insert with a lid in combination with filters (66) enables the function of a sterile container and can be sterilized using the usual sterilization methods.

24. Transportable insert according to one of claims 1 to 23, characterized in that the insert has an additional support structure (7) for stabilization in the form of a fabric, mesh, grid and hole structure or in a similar shape.

25. Transportable use according to one of claims 1 to 24, characterized in that the use in machines completely or partially reduces the process space or subdivided and at least supported the reprocessing process by suitable product arrangement and media management

26. Transportable insert according to one of claims 1 to 25, characterized in that the insert carries reusable or disposable products, for example minimally invasive instruments, devices, catheters, implants or other medical products.

27. Transportable use according to one of claims 1 to 26, characterized in that the use allows an arrangement of products matched to the method and the subsequent use and selected as a product set or individual product from the field of medicine, restaurants, household goods or industry is.

28. Transportable insert according to one of claims 1 to 27, characterized in that the dimensions of the insert correspond to the customary dimensions of cleaning, disinfection and sterilization inserts or can be adapted.

29. Transportable insert according to one of claims 1 to 28, characterized in that the insert has a layer, film, membrane or particle level superficially or embedded in the support structure and this can exercise or support a physical and / or chemical function.

30. Transportable insert according to one of claims 1 to 29, characterized in 5 that the insert can be placed vertically and z. B. tubular products allow controlled drainage of the treatment medium by inclination.

31. Transportable use according to one of claims 1 to 30, characterized in that the use in and outside of a machine with at least one feed and / or

Derivatives (32) or with at least one flushing bar (46) with preferably exchangeable sealing elements (44, 45) for flushing out treatment solutions.

5 32. Transportable insert according to one of claims 1 to 31, characterized in that the insert has a cylindrical, rectangular or square shape for hollow space instruments and with a medium distributor (31) and a sealing or position ring (28) enables the flow of media.

33. Transportable use according to one of claims 1 to 32, characterized in that the information structure (2) is preferably conductive in one of the structures

Layers, light guides, universal storage media, displays and / or energy generators, e.g. B. in the form of flat inexpensive plastic chips, displays or foil batteries or can be combined with these.

34. Portable insert according to one of claims 1 to 33, characterized in that the surfaces of the insert to change the surface tension, the surface hardness and / or coated with antiseptic substances and are easy to clean.

35. functional tray for use in medical, industrial, consumer and restaurant areas which can be used in dishwashing, cleaning, disinfection or sterilization machines and in which a portable use with a process-supporting structure is used outside of a machine according to one of claims 1 to 34 .

36. Functional tablet according to one of claims 35, characterized in that at least one electronic component such as transponders or sensors (55, 54) for determining or checking states or a large-area display (57) or a touch screen (56) or an electronic label (15, 16, 22, 23) for controlling, processing and displaying communication data is available.

37. Functional tray according to one of claims 35 to 36, characterized in that at least one different holder (51, 52, 67) is present and the tray can be hung together with a product, for example.

38. Functional tray according to one of claims 35 to 37, characterized in that at least one large-area electronic components (56, 57) and / or additional devices such as brackets and / or electronic components are present, for example, embedded in a film (71) or plastic and these can be subsequently and individually adapted and exchanged.

39. Functional tablet according to one of claims 35 to 38, characterized in that this tablet is used as an electronic book or as a notebook or control instrument and has control elements (61, 59, 62, 63) for this purpose.

40. Functional tray according to one of claims 35 to 39, characterized in that it consists of two larger parts and can be folded together by at least one functional hinge element (18) and is preferably secured by a closure.

41. A method for product preparation and beyond, which can be used in dishwashing, cleaning, disinfection or sterilization machines and in which a portable use according to one of claims 1 to 34 or a functional tray according to one of claims 35 to 40 is used.

42. The method according to any one of claims 41, characterized in that the preparation by machine-independent rebound surfaces or rebound structures in or outside a machine at least by a rebound or deflection of media such as solutions, gases, plasma or ultrasound and the method by these surfaces or Structures can be supported chemically or physically.

43. The method according to any one of claims 41 to 42, characterized in that the arrangement, shape and spacing of, for example, at least one rebound surface (3) and / or a spaced rebound surface (3) or rebound surface (4) or by spatial rebound structures (69) the treatment performance of the products is supported.

44. The method according to any one of claims 41 to 43, characterized in that the media distribution, spreading or flow and the back and flushing or flow through the products to be treated is improved, for example by definable and controllable medium supply.

45. The method according to any one of claims 41 to 44, characterized in that a partly machine-independent changeable treatment room (14) for media is produced and can advantageously be flowed through from above and below or one side delimits a treatment room created at a suitable distance from the treatment source.

46. The method according to any one of claims 41 to 45, characterized in that there is a direct volume inflow from above and / or below and / or laterally and the flow through or in the treatment room is preferably a turbulent one.

47. The method according to any one of claims 41 to 46, characterized in that a simple pre-cleaning of the machine is independently supported and, for example, using suitable flushing pressures. B. can be done from a house management.

48. The method according to any one of claims 41 to 47, characterized in that the arrangement, shape and spacing of the rebound surfaces or its spatial arrangement and the product arrangement support the preparation and at least one physical process parameter such as the volume or the ultrasound propagation in the treatment room is changed.

49. The method according to any one of claims 41 to 48, characterized in that the rebound surfaces machines independently support the media spreading and distribution in the treatment room (14), for example at high media pressures and ultrasound strengths.

50. The method according to any one of claims 41 to 49, characterized in that a validatable reproducible pre-cleaning with water and mechanical processing of products, in particular hollow instruments, takes place under controllable conditions and in this case detectable contaminations such as e.g. B. protein and blood residues, prions, bacteria, pathogens and production residues are removed or depleted.

51. The method according to any one of claims 41 to 50, characterized in that the baffle surfaces, a backwashing of the products by bouncing and deflecting the liquid or gaseous media or ultrasonic waves is advantageously influenced.

52. The method according to any one of claims 41 to 51, characterized in that the cleaning performance of the cleaning solution itself is supported and cleaning of hard-to-reach areas of products, for example in the joint area, is also made possible by pulsatile flows at pressures above 0.5 bar.

53. The method according to any one of claims 41 to 52, characterized in that media such as distilled or ionized water or cleaning, disinfecting or sterilizing solutions or in combination are used.

54. The method according to any one of claims 41 to 53, characterized in that during the processing products in a machine with solutions or with gases are additionally or simultaneously treated physically with plasma, ultrasound or UV light and outside of a machine preferably a flat application of UV light occurs.

55. The method according to any one of claims 41 to 54, characterized in that the surfaces during processing and also noxious substances such as. B. deposit hydrogen peroxide or silver, for example, by a layer or film or particles.

56. The method according to any one of claims 41 to 55, characterized in that current is preferably used through conductive layers with phosphors to generate visible light or UV light.

57. The method according to any one of claims 41 to 56, characterized in that reusable or disposable products, for example minimally invasive instruments, devices, catheters, implants or other medical products can be processed.

58. The method according to any one of claims 41 to 57, characterized in that the insert or the functional tray exchanges electronic data via transponders or other electronic parts without contact across the room, for example with a device at the patient bed or in the operating room.

59. The method according to any one of claims 41 to 58, characterized in that process information such as instrument, drug and food presentation is stored in a patient-specific manner and in addition further information is obtained via interchangeable sensors and interchangeable active intelligent information stores.

60. The method according to any one of claims 41 to 59, characterized in that a therapy, product presentation of any kind or product preparation, for example is supported by heating or cooling or by storing blood or sterile solutions, for example.

61. The method according to any one of claims 41 to 60, characterized in that a simple and process-supporting product preparation and product return takes place without having to repack the products.

62. The method according to any one of claims 41 to 61, characterized in that the product removal and application are supported, for example, by product lighting from below or product representations, warning notices or information on technical testing or product representations for the correct arrangement of the products on the insert or functional tray.

63. The method according to any one of claims 41 to 62, characterized in that standardized standard surfaces or control products are used for validation or the impact surfaces of the insert have such control surfaces.

64. Method according to one of claims 41 to 63, characterized in that after use of the cavity instruments, a pre-cleaning with water with pressures above 2 bar takes place for at least 30 seconds and the patency of each individual instrument is checked in a machine.