Midmark Dental Instrument Processing

Our Commitment to Patient Care

WE BELIEVE DESIGN IS ABOUT NOT JUST THE SPACE, BUT THE PURPOSE OF THE SPACE. From the moment Midmark entered the dental industry, helping advance patient care has been our passion. Today, our number one commitment is helping you and your team focus on what you do best—caring for your patients, from the operatory to the mechanical room.

Midmark instrument processing solutions provide the solid foundation you need for worry-free infection prevention measures based on best practices you can trust.

Infection Prevention Matters

Your reputation has been years in the making. Don't let one dirty instrument destroy it. As antibiotic-resistant "superbugs" loom ever larger in headlines, the need for infection control in dentistry has reached a new urgency. Sterilization is at the heart of any effective infection control protocol, so an understanding of sterilization and the process for attaining it are truly essential for every dental practice.

Instrument Processing Essentials: The 5 Steps

Follow established instrument processing best practices to create a smooth workflow from dirty to clean. This workflow will help contain contamination and maximize the efficiency of your instrument cleaning and sterilization process.

1. Receiving, Cleaning and Decontamination: Reusable instruments, supplies, and equipment should be received, cleaned, and decontaminated in one section of the processing area.
2. Preparation and Packaging: Cleaned instruments and other supplies should be inspected, assembled into sets or trays, and wrapped or packaged for sterilization.
3. Sterilization: The sterilization area should include the sterilizer and related supplies with adequate space for loading, unloading, and cooling down.
4. Monitoring/Sterility Assurance: Mechanical, chemical, and biological monitoring should be used to ensure the effectiveness of the sterilization process.
5. Storage: The storage area should contain space for sterile items and disposable items. Supplies and instruments should not be stored under sinks or in other locations where they might become wet.

Your Sterilization Center: Tailored to Your Practice

STERILIZATION GOALS MAY BE UNIVERSAL, BUT YOUR PRACTICE IS UNIQUE. It's one thing to know the best practices in sterilization and instrument processing, but the particular needs and considerations of your own practice can make implementing them a challenge. Are you focused on getting more done in less time? Managing large teams? Working within space constraints? Or maximizing patient comfort? Midmark has solutions to help you achieve your goals.

Turn your instrument processing center into your best marketing tool. Stylish cabinetry options and layout concepts make the desired impression of professionalism, expertise, and style. Let your instrument processing area be a showcase of efficiency.

From Our Customer: "My staff says sterilization is easier than ever and that the implementation of the new Midmark steri-center has increased efficiency and turnover time. The distinct flow and separation from dirty to clean have made an enormous impact on staff confidence in sterilization protocol. There is a sense of ease that comes in knowing the instruments are kept in a sterile environment until the time of use." - Robert J. Stevenson, DDS, Ann Arbor, MI

Every Minute Counts: Optimizing Workflow

Consider how space and workflow design drive efficiencies in your instrument processing center. Midmark designers help reduce bottlenecks and optimize equipment placement to meet unique practice demands.

Efficiencies Where You Need Them:

• 01 Upper Cabinet Storage: Keep your area clean and organized with integrated two- or three-slot glove dispensers for efficient storage.
• 02 Built-in Pantry Storage: Glass-paneled doors make locating instruments simple. Durable steel construction and asepsis-supportive design of Synthesis Cabinetry allow staff to focus on daily demands.
• 03 Hands-Free Faucet: A gooseneck faucet minimizes surface contamination during cleaning or rinsing. The high arc spout accommodates large items, and a pull-out wand provides maneuverability.
• 04 VistaCool™: Provides direct-to-drain elimination of sterilizer wastewater, removing the need for condensate bottles and tanks.

Galley Layout: Keeps traffic flowing with entry and exit from both ends for maximum access to workspaces with fewer steps.

Big Team Practice: High-Volume Efficiency

For large, high-volume practices, the instrument processing area must be optimized to match, with every aspect finely tuned to help staff achieve excellence. Midmark helps make smart, sustainable choices in your sterilization center to ensure optimal patient care while maximizing efficiencies.

Solutions for Your Investment:

• 01 Ample Countertop Space: Allows easy separation of dirty and clean instruments, fostering staff confidence and comfort.
• 02 Sterilizer Capacity: Choose sterilizer capacity based on facility size, with options including small-capacity, faster-cycle units.
• 03 QuickClean® Ultrasonic Cleaner: Ensures thorough cleaning every time, a critical step before sterilization, for peak staff efficiency.
• 04 Additional Work Space: Incorporate pass-through cabinets to improve efficiencies by allowing staff to access instruments from both sides.

U-Shaped Layout: Accommodates multiple sterilizers and provides ample surface areas for a larger staff to multi-task and maintain a bustling workflow.

Small Spaces, Big Ideas: Maximizing Limited Space

For limited or hard-to-fit places, Midmark designs workspace layouts that encompass all essential steps in instrument processing without compromising standards.

Solutions for Limited Space:

• 01 Sterilization Tower: Allows stacking of sterilizers to free up counter space.
• 02 Decentralized Storage: Takes up less room, preventing workflow interruption in limited spaces.
• 03 Pull-Out Wrap Drawer: Located under the sterilizer, it saves space and allows wrapping and loading in the same area.
• 04 Full-Extension Slides: Maximize drawer space, including hard-to-reach areas.
• 05 Midmark M3™ Sterilizer: Delivers speed and efficiency in a compact space with one-hand operation for loading and unloading.

L-Shaped Layout: Maximizes available space where elbow room is limited, ensuring efficiency and safety.

Patient-Focused Design: Creating Ease and Trust

The comfort and safety of every patient matter. A warm and inviting setting builds trust. Midmark helps create open, attractive spaces that showcase professionalism beyond the operatory, turning the sterilization center into a marketing highlight.

Solutions to Put Patients at Ease:

• 01 Heavy-Duty Pull-Out Shelves: Provide easy access to equipment in sterilization tower cabinets.
• 02 Interior Signal Lighting: Glass-door cabinets use lighting to indicate clean instruments are ready, while clean storage pantries offer ideal cassette or pouch storage.
• 03 Multiple Trash-Drop Options: Minimize cross-contamination and help staff maintain a professional appearance by keeping the dirty workflow clean and neat.
• 04 Red-Tinted Windows: Serve as a patient-friendly indicator that dirty instruments are waiting for cleaning.

Straight-Line Layout: Creates an open and inviting space, showing patients pride in every detail.

Create Your Space: Planning and Design

Planning a new sterilization center or equipping an existing room is more effective with a plan that considers space, patient volume, and growth needs.

First Things First: Initial Questions

Consider these questions to guide your planning:

• Project Type: New construction, remodel of office, remodel of sterilization area (with or without structural changes).
• Daily Patient Volume: Average, maximum, and goal for dentists and hygienists.
• Total Operatories: Number of operatories in the practice.
• Preferred Layout: Galley, L-shaped, U-shaped, or Straight-Line based on examples.
• Showcasing to Patients: Desire to display the instrument processing area to patients.
• Dedicated Staff: Presence of a dedicated instrument or sterilization staff member.
• Staff Capacity: Maximum number of staff using the area simultaneously.
• Space Limitation: Description of the most critical space constraint.

A Little More Detail: Workflow Preferences

• Cassette/Tray Usage: Preference for cassettes, trays, or a combination.
• Future Cassette Transition: Anticipation of moving to cassettes.
• Instrument Cleaning Method: Manual, ultrasonic cleaner, or washer-disinfector.
• Water Purification System: Need for a water purification system.

Next Steps: Review and Select

Review the layout designs (pages 14-23) and mark features and styles that appeal to you.

1. Every Minute Counts/Galley Layout
2. Big Team Practice/U-Shaped Layout
3. Small Spaces, Big Ideas/L-Shaped Layout
4. Patient-Focused Design/Straight-Line Layout

Design Recommendations:

1. Divide the instrument processing area into five sections: receiving/cleaning/decontamination; preparation/packaging; sterilization; monitoring; and storage.
2. Create a one-direction flow from dirty to clean to sterile to storage.
3. Anticipate patient volume and design the space to meet or exceed it.

Equipment Considerations:

Ultrasonic Cleaner Capacity by Practice Size:

• 1 Doctor/1 Hygienist: 3 gallon
• 1 Doctor/2-3 Hygienists: 3-6 gallon
• 2 Doctors/2-4 Hygienists: 3-6 gallon
• 3 Doctors/3-5 Hygienists: 6 gallon

Sterilizer Requirements by Practice Size:

• 1 Doctor/1 Hygienist: 1 chamber autoclave (11" or greater)
• 1 Doctor/2-3 Hygienists: 2 chamber autoclaves (11" or greater) + 1 cassette-style sterilizer, OR 2, 11" or greater units
• 2 Doctors/2-4 Hygienists: 2 chamber autoclaves (11" or greater) + 1 cassette-style sterilizer
• 3 Doctors/3-5 Hygienists: 3 chamber autoclaves (2, 11" or greater) + 1 cassette-style sterilizer

Configure Your Space: Layout Options

From receiving to storage, your instrument processing space needs to work for you. These layout options are designed to follow the 5-step best practices in instrument processing while giving you the options your practice demands.

Products and Solutions

Midmark Sterilizer Performance: 94% of dental service technicians recommend a Midmark sterilizer. (Source: 2016 Vennli Survey, Service Technicians. Percentage based on 215 survey responses.)

Customer Endorsement: "I've been in the industry for 16 years and I only recommend Midmark M9 and M11 sterilizers to my clients. They rate a '10' for initial quality, ease of installation, product perception/image of quality, and overall satisfaction. Midmark is always there for us.” - Charlie Lenart, Field Service Technician

The Critical First Step: QuickClean® Ultrasonic Cleaners

Providing powerful, effective cleaning and consistent results, the QuickClean Ultrasonic Cleaner eliminates hidden residues manual cleaning may miss. If an instrument is not properly cleaned before being sterilized, the sterilization process can be compromised and ineffective. The advanced technology of the QuickClean helps create a safer, more efficient work environment by decreasing worker exposure to contaminants and potential sharps injuries while reducing the time and effort needed for cleaning.

QuickClean Options:

• Tabletop Sizes: Available in 1.2, 3.3, and 6.6-gallon capacities.
• Recessed Options: Available in 3.3 or 6.6-gallon capacities.
• Design: Features a stainless steel finish and attractive design that coordinates well with any décor.

Standard Features of QuickClean®

QuickClean® is easy to use right out of the box, requiring minimal training. It cleans more thoroughly and consistently throughout the entire bath with advanced Frequency-Leap technology, ensuring instruments are fully cleaned the first time, every time.

• Digital LCD Control Panel: Displays prompts for easy operation.
• Preset/Customized Settings: Built-in data storage retains previous cycle settings.
• Fluid Sensor: Detects insufficient water level and alerts the operator.

Accessories and Service Parts:

Beaker Accessories: Available for QC1, QC3/QC3R, and QC6/QC6R models.

Extra Safety Baskets: Available for QC1, QC3/QC3R, and QC6/QC6R models.

Cleaning Solutions: Midmark General Purpose Cleaner, Tartar and Stain Remover, and Enzymatic Cleaner.

QuickClean Models Summary:

Details on various models (QC1-01, QC3-01, QC3R-01, QC6-01, QC6R-01) including type, capacity, unit size, tank size, warranty (3 years), and average sound level (61-69 dB).

Absolutely Sterile: Midmark M3™, M9™, M11™ Steam Sterilizers

No dental practitioner can afford to take chances with sterilizer performance. Midmark sterilizers are designed to be safe, dependable, and easy to use. Each unit is inspected and ASME-certified by a third-party-licensed inspector. Midmark sterilizers are designed, manufactured, and supported in the US, backed by over 100 years of manufacturing experience.

Safety Features:

• Pre-Programmed Control: Automatic sterilization cycle once selected, requiring no operator assistance.
• Smart Technology: Automatically stops if the door is not closed completely or the water level is low, alerting the operator.
• Open Door Drying: Door opens automatically and quietly post-sterilization to dissipate steam and dry instruments.

Sterilization Performance Table:

Details on cycle times (Sterilization Temperature, Hot Cycle Time, Sterilization Time, Dry Time, Total Hot Cycle Time) for Unwrapped, Pouches, Packs/Low Temp, and Handpieces across M11, M9, and M3 models.

Why Ease of Use Matters:

• Safety Comes First: Simple operation minimizes breaks in safety protocols.
• Efficiency Wins the Day: Rapid cycle times for busy schedules (M3) or maximum capacity (M11).
• Durability Keeps You Running: Midmark equipment is built for years of reliable service, reducing wear from incorrect usage.

Maximizing Safety and Efficiency

Unbeatable Quality and Streamlined Maintenance:

• Ease of Use: Midmark instrument processing equipment is intuitive and simple to use.
• Maintenance: Easy-access drain and fill points simplify maintenance.

VistaCool™ Direct-to-Drain Water Elimination System:

Eliminates the need for labor-intensive condensate tanks, freeing staff time. Available as a Single VistaCool unit (9A586001) for the M3 sterilizer or a Double VistaCool unit (9A586002) for the M9 and M11 sterilizers.

Sterilizer Accessories:

Tailor equipment to practice demands:

• For M9 and M11 Sterilizers: M9/M11 Printer (9A599001) for cycle data, Cool Hand Tool (9A307001) for safer loading/unloading, Pouch Racks (6 Slot/5 Slot) for enhanced circulation and drying.
• For M11 Sterilizer: Vertical Cassette Rack (9A215002) and Horizontal Cassette Rack (9A215001) to hold cassettes.
• For M3 Sterilizer: Top Cover Protector (9A404001), M3 Printer (9A401001), and Door Tray (9A402001) for preparing additional loads.

Midmark Cabinets vs. Local Millwork

Midmark Artizan® Expressions and Synthesis® Cabinetry lines are designed and constructed with dentists in mind, offering functional features like full-extension drawers and asepsis-supportive surfaces. Local millwork alternatives are unlikely to match Midmark cabinetry for quality, durability, and longevity.

Cabinetry Comparison:

• Cabinet Frame: Midmark uses industrial-grade particle board (Artizan) or 18-gauge cold-rolled steel (Synthesis), while local millwork often uses lower-density particle board or plywood.
• Panel Substrates: Midmark uses industrial-grade particle board or medium-density fiberboard; local millwork uses lower-density particle board or plywood.
• Base Material: Midmark features seamless stainless steel or thermofoil over steel; local millwork uses basic plywood/particle board with laminate.
• Finishes: Midmark offers factory-applied melamine with PVC edgebanding or PVC thermofoil; local millwork may use high-pressure laminate with less precise application.
• Assembly: Midmark uses glue dowel or mechanical fasteners; local millwork often uses staple fasteners.
• Drawers: Midmark offers wood/melamine construction with metal sides or seamless polystyrene; local millwork drawers are often unfinished.
• Drawer Slides: Midmark features full-extension ball-bearing systems; local millwork typically uses less durable undermounted runners.
• Handles: Midmark offers brushed nickel or integrated/antimicrobial options; local millwork often uses basic "C" style pulls.

Synthesis® Sterilization Center Highlights

Aligned with LEED Green Building Rating System, Synthesis Cabinetry provides a durable structure and asepsis-friendly design for long product life. Its modularity allows for easy modification and component replacement as office needs evolve.

Synthesis Color and Style Options: Offers various handle styles (Arc, Flare, Bent, Edge) and panel styles (Pinnacle, Serenity, Transcend, Renew, Cove) to customize your space.

Synthesis Standard Colors: Features a range of cabinet finishes (e.g., Frost, Pebble Grey, Whisper, Fawn, woodgrains, metallics) and countertop colors in Solid Surface, Quartz, and Laminate options.

Artizan® Expressions Sterilization Center Highlights

Artizan Expressions brings a sleek, modern look to the dental space, using quality components and materials. Features include red and blue plexiglass windows, glue-dowel construction, concealed Blum® soft-close steel hinges, brushed-nickel handles with 3-mm edgebanding, hands-free systems, and full-extension soft-close drawer systems.

Artizan Expressions Standard Colors: Available in various Arauco® and Formica® colors for cabinet finishes and a selection of Solid Surface, Quartz, and Laminate countertop colors.

What You Get With Midmark

Durability. Craftsmanship. Precision. Midmark offers more than products; it provides a partnership with decades of manufacturing expertise, design innovation, and workflow efficiency leadership. Midmark equipment and cabinetry are crafted to fit your space and work style, backed by an extensive warranty and dedicated technical support.

Service: A standard five-year limited warranty is offered for Artizan Expressions and Synthesis Cabinetry. Midmark provides expert customer experience and technical support representatives for product questions.

Manufacturing Expertise: With over 100 years of manufacturing history, Midmark invests in production systems, innovating and building steam sterilizers since 1990 and expanding cabinetry manufacturing space. Investments in state-of-the-art machinery ensure the highest quality and performance.

Safety is Our Best Marketing Tool: "When we designed our office, we put a large window in our sterilizing room. People asked why we wanted patients to see dirty instruments. Easy—we want them to see how effectively we practice and trust that everything is completely sterile for their safety." - Dr. Ileana T. Toro, DMD & Dr. Junot J. Franco, DMD, Village Park Advanced Cosmetic and Family Dental

Design Support and Resources

Design Support: Midmark offers in-house design experts to assist with practice remodeling or new builds, partnering with dealers to work with existing floorplans. They help create the right look and layout for your dream clinical space, tailoring designs to specific needs.

Resources:

• How It's Created: Videos on Artizan Expressions and Synthesis Cabinetry production at midmark.com/artizanexpressions_creation and midmark.com/synthesiscasework_creation.
• Dental Design Tool: An easy-to-use digital tool to visualize operatory and sterilization spaces at apps.midmark.com/dental-design-tool.
• Website: For more information and to contact a sales representative, visit www.midmark.com/cabinetry.

Designing Better Care.™

Midmark offers a complete solution set for your clinical space, believing that better care starts with a better designed care environment. Let Midmark help bring your dental practice vision to life, covering areas like the Mechanical Room, Operatory, Imaging, Instrument Processing, and Cabinetry.